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1508182429
STEPHANIE JACKSON
ALBANY, NY
NPI
1508182429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 243144-1)
Enumeration Date
2010-04-16
Last Update Date
2010-04-16
Business Address
-- STEPHANIE JACKSON
75 NEW SCOTLAND AVE
ALBANY, NY 12208-3409
Phone number: 518-447-9611
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Mailing Address
-- STEPHANIE JACKSON
65 CLIPP RD
DELMAR, NY 12054-5300
Phone number:
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