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1407261399
LASHANDA M JACKSON
BROOKLYN, NY
NPI
1407261399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 681767)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
-- LASHANDA M JACKSON
813 HERKIMER ST
BROOKLYN, NY 11233-3031
Phone number: 570-371-9155
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Mailing Address
-- LASHANDA M JACKSON
813 HERKIMER ST
BROOKLYN, NY 11233-3031
Phone number: 570-371-9155
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