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1487801775
LAURENA S JACKSON
ROCKY MOUNT, NC
NPI
1487801775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NC 101493)
Enumeration Date
2008-08-19
Last Update Date
2008-08-19
Business Address
MRS. LAURENA S JACKSON PHYSICIAN ASSISTANT
300 FOUNTAIN ROAD
ROCKY MOUNT, NC 27802
Phone number: 252-442-9712
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Mailing Address
MRS. LAURENA S JACKSON PHYSICIAN ASSISTANT
1713 SAGAMORE CT
RALEIGH, NC 27604-4743
Phone number: 252-442-9712
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