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1386881126
PETRINA M JACKSON
YONKERS, NY
NPI
1386881126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 292190)
Enumeration Date
2009-01-15
Last Update Date
2009-01-15
Business Address
Ms. PETRINA M JACKSON LPN
201 N BROADWAY APT 3N
YONKERS, NY 10701-2608
Phone number: 917-828-2233
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Mailing Address
Ms. PETRINA M JACKSON LPN
201 N BROADWAY APT 3N
YONKERS, NY 10701-2608
Phone number: 917-828-2233
Copy
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