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1427237973
JACKIE JESSURUN
MIAMI GARDENS, FL
NPI
1427237973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5155284)
Enumeration Date
2007-11-01
Last Update Date
2007-11-01
Business Address
Ms. JACKIE JESSURUN LPN
111 NW 183RD ST SUITE 500
MIAMI GARDENS, FL 33169-4537
Phone number: 305-892-4753
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Mailing Address
Ms. JACKIE JESSURUN LPN
111 NW 183RD ST SUITE 500
MIAMI GARDENS, FL 33169-4537
Phone number: 305-892-4753
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