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1366508855
TRANICE D JACKSON
BRONX, NY
NPI
1366508855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 168687)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
Dr. TRANICE D JACKSON M.D.
234 E 149TH ST BRONX
BRONX, NY 10451-5504
Phone number: 718-579-5000
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Mailing Address
Dr. TRANICE D JACKSON M.D.
234 E 149TH ST BRONX
BRONX, NY 10451-5504
Phone number:
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