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1346870672
EVANGELINA JACKSON
SAN DIEGO, CA
NPI
1346870672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 291827)
Enumeration Date
2020-01-26
Last Update Date
2020-01-26
Business Address
Mrs. EVANGELINA JACKSON LVN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-615-0439
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Mailing Address
Mrs. EVANGELINA JACKSON LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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