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1356436273
DEBORAH JACKSON
COLUMBIA, MD
NPI
1356436273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R048240)
Enumeration Date
2006-10-04
Last Update Date
2008-12-01
Business Address
-- DEBORAH JACKSON CRNP
8875 CENTRE PARK DR SUITE D
COLUMBIA, MD 21045-2114
Phone number: 410-730-1000
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Mailing Address
-- DEBORAH JACKSON CRNP
8875 CENTRE PARK DR SUITE D
COLUMBIA, MD 21045-2114
Phone number: 410-730-1000
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