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1346015112
JUANETTA JACKSON
COLUMBIA, SC
NPI
1346015112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 28129)
Enumeration Date
2023-11-21
Last Update Date
2023-12-13
Business Address
Ms. JUANETTA JACKSON APRN
SC HOUSE CALLS INC 111 DOCTORS CIR.
COLUMBIA, SC 29203
Phone number: 800-491-0909
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Mailing Address
Ms. JUANETTA JACKSON APRN
SC HOUSE CALLS INC 111 DOCTORS CIR.
COLUMBIA, SC 29203
Phone number: 800-491-0909
Copy
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