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1376778373
SHALANA VENICE JACKSON
ROCHESTER, NY
NPI
1376778373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 589554)
Enumeration Date
2009-05-19
Last Update Date
2009-05-19
Business Address
Ms. SHALANA VENICE JACKSON RN
2113 TITUS AVE
ROCHESTER, NY 14622-1834
Phone number: 585-527-0449
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Mailing Address
Ms. SHALANA VENICE JACKSON RN
2113 TITUS AVE
ROCHESTER, NY 14622-1834
Phone number: 585-527-0449
Copy
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