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1346615721
CHARLYN JACKSON
DETROIT, MI
NPI
1346615721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111484)
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
-- CHARLYN JACKSON
13600 ARCHDALE ST
DETROIT, MI 48227-1394
Phone number: 313-485-2540
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Mailing Address
-- CHARLYN JACKSON
13600 ARCHDALE ST
DETROIT, MI 48227-1394
Phone number: 313-485-2540
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