MAKIA NICOLE JACKSON

SPRINGFIELD, OR
NPI1467808295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201601891LPN)
Enumeration Date2016-05-11
Last Update Date2016-05-16
Business Address
Mrs. MAKIA NICOLE JACKSON LPN
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
Mailing Address
Mrs. MAKIA NICOLE JACKSON LPN
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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