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1508015421
KATHLEEN JACKSON
BUFFALO, NY
NPI
1508015421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 211315-1)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
-- KATHLEEN JACKSON
188 LOVERING AVE
BUFFALO, NY 14216-1814
Phone number: 716-578-1826
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Mailing Address
-- KATHLEEN JACKSON
188 LOVERING AVE
BUFFALO, NY 14216-1814
Phone number: 716-578-1826
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