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1518714161
JENNIFER DENISE TACKETT
ELMIRA, NY
NPI
1518714161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 754201)
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
JENNIFER DENISE TACKETT RN
100 WASHINGTON ST
ELMIRA, NY 14901-2849
Phone number: 607-737-4711
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Mailing Address
JENNIFER DENISE TACKETT RN
147 ROBINWOOD AVE
ELMIRA HEIGHTS, NY 14903-1509
Phone number: 814-392-0581
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