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1467710137
EUNIQUE JACKSON
CENTRAL ISLIP, NY
NPI
1467710137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 307758-1)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
EUNIQUE JACKSON L.P.N
30 COVENTRY LN
CENTRAL ISLIP, NY 11722-2134
Phone number: 631-334-1131
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Mailing Address
EUNIQUE JACKSON L.P.N
30 COVENTRY LN
CENTRAL ISLIP, NY 11722-2134
Phone number: 631-334-1131
Copy
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