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1427150242
SUSANNE SOCHA JACKSON
DURHAM, NC
NPI
1427150242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 201136)
Enumeration Date
2006-09-02
Last Update Date
2008-01-31
Business Address
Mrs. SUSANNE SOCHA JACKSON
2100 ERWIN RD
DURHAM, NC 27710-0001
Phone number: 919-688-3079
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Mailing Address
Mrs. SUSANNE SOCHA JACKSON
804 W TRINITY AVE
DURHAM, NC 27701-1826
Phone number: 919-688-3079
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