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1477036796
TIFFANY R JACKSON
TEMPLE, TX
NPI
1477036796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 213654)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
TIFFANY R JACKSON LVN
990 MARLANDWOOD RD
TEMPLE, TX 76502-3365
Phone number: 254-773-8830
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Mailing Address
TIFFANY R JACKSON LVN
4601 CALLE SECOYA ST. APT. A
TEMPLE, TX 76502
Phone number: 254-654-0502
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