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1396990503
LORRAINE JACKSON
PLYMOUTH MEETING, PA
NPI
1396990503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN279543)
Enumeration Date
2008-12-02
Last Update Date
2008-12-02
Business Address
-- LORRAINE JACKSON
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- LORRAINE JACKSON
PO BOX 126
MOUNT AETNA, PA 19544-0126
Phone number:
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