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1376676841
DEBRA E JACKSON
ST PETERSBURG, FL
NPI
1376676841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL ARNP1900652)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
DEBRA E JACKSON ARNP
8730 4TH ST N
ST PETERSBURG, FL 33702-3106
Phone number: 727-576-4229
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Mailing Address
DEBRA E JACKSON ARNP
2370 TERENCE CT
CLEARWATER, FL 33759-1215
Phone number: 727-726-8776
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