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1518053313
IRIS JACKSON
DORAL, FL
NPI
1518053313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP 1563532)
Enumeration Date
2006-10-05
Last Update Date
2016-05-13
Business Address
-- IRIS JACKSON ARNP
8175 NW 12TH ST SUITE 306
DORAL, FL 33126-1828
Phone number: 786-845-0173
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Mailing Address
-- IRIS JACKSON ARNP
8175 NW 12TH ST STE 306
DORAL, FL 33126-1828
Phone number: 786-845-0164
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