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1427047380
KELLY ELAINE JACKSON
LOUISVILLE, KY
NPI
1427047380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: KY GC008)
Enumeration Date
2005-10-13
Last Update Date
2022-05-24
Business Address
MISS KELLY ELAINE JACKSON MS, CGC
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Phone number: 502-588-0850
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Mailing Address
MISS KELLY ELAINE JACKSON MS, CGC
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0850
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