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1346754348
LATONYA MONIQUE JACKSON
ALBANY, GA
NPI
1346754348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN089401)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
Mrs. LATONYA MONIQUE JACKSON LPN
2607 LEDO RD
ALBANY, GA 31707-1211
Phone number: 229-903-0022
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Mailing Address
Mrs. LATONYA MONIQUE JACKSON LPN
2607 LEDO RD
ALBANY, GA 31707-1211
Phone number: 229-903-0022
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