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1376795153
LAURIE JACKSON
PLYMOUTH MEETING, PA
NPI
1376795153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN105438L)
Enumeration Date
2008-10-13
Last Update Date
2008-10-13
Business Address
-- LAURIE JACKSON
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- LAURIE JACKSON
146 OAK LN
COATESVILLE, PA 19320-1005
Phone number:
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