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1417269226
DENITA LYNN JACKSON
FAIRFIELD, OH
NPI
1417269226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH pn-109412)
Enumeration Date
2010-07-08
Last Update Date
2013-12-06
Business Address
Ms. DENITA LYNN JACKSON lpn
30 HEFFRON DR APT G
FAIRFIELD, OH 45014-7165
Phone number: 513-846-8355
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Mailing Address
Ms. DENITA LYNN JACKSON lpn
30 HEFFRON DR APT G
FAIRFIELD, OH 45014-7165
Phone number: 513-846-8355
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