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1477086775
KATELYNN E JACKSON
LYONS, NY
NPI
1477086775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 325970)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- KATELYNN E JACKSON lpn
101 WILLIAM ST
LYONS, NY 14489-1553
Phone number: 315-719-7233
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Mailing Address
-- KATELYNN E JACKSON lpn
101 WILLIAM ST
LYONS, NY 14489-1553
Phone number: 315-719-7233
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