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1497144950
MARIE R. JACKSON
LEXINGTON, KY
NPI
1497144950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 19290)
Enumeration Date
2015-01-21
Last Update Date
2016-04-05
Business Address
-- MARIE R. JACKSON CRNA
310 S LIMESTONE
LEXINGTON, KY 40508-3008
Phone number: 859-252-6612
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Mailing Address
-- MARIE R. JACKSON CRNA
PO BOX 637931
CINCINNATI, OH 45263-7931
Phone number: 615-327-4304
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