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1518379965
ANDREA JACKSON
CHATTANOOGA, TN
NPI
1518379965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 32204)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
-- ANDREA JACKSON LPN
3074 HICKORY VALLEY RD
CHATTANOOGA, TN 37421-1265
Phone number: 423-622-1551
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Mailing Address
-- ANDREA JACKSON LPN
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number: 423-622-1551
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