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1356585343
JUDITH A JACKSON
BROOKLYN, NY
NPI
1356585343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 541413)
Enumeration Date
2009-04-22
Last Update Date
2010-07-21
Business Address
-- JUDITH A JACKSON
1622 E 24TH ST
BROOKLYN, NY 11229-2402
Phone number: 516-285-1892
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Mailing Address
-- JUDITH A JACKSON
26 ASH ST
VALLEY STREAM, NY 11580-4812
Phone number:
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