EBONY JACKSON

CLEVELAND, OH
NPI1356678197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.142392)
Enumeration Date2009-11-16
Last Update Date2011-01-03
Business Address
-- EBONY JACKSON
4754 E 175TH ST
CLEVELAND, OH 44128-3932
Phone number: 216-856-3107
Mailing Address
-- EBONY JACKSON
4754 E 175TH ST
CLEVELAND, OH 44128-3932
Phone number: 216-856-3107
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