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1487023867
DANIELLE MICHELLE JACKSON
TUBA CITY, AZ
NPI
1487023867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ CNA1000046611)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
-- DANIELLE MICHELLE JACKSON Certified Nursing As
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2781
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Mailing Address
-- DANIELLE MICHELLE JACKSON Certified Nursing As
PO BOX 600 167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2781
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