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1407598741
LAQUINDA R JACKSON
DAYTON, OH
NPI
1407598741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 315850-31)
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
LAQUINDA R JACKSON Licensed Nurse
917 CLEVERLY RD
DAYTON, OH 45417-1106
Phone number: 326-467-1710
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Mailing Address
LAQUINDA R JACKSON Licensed Nurse
917 CLEVERLY RD
DAYTON, OH 45417-1106
Phone number: 326-467-1710
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