AMANDA NICOLE JACKSON

MIAMISBURG, OH
NPI1528309473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.144284-M-IV)
Enumeration Date2013-03-01
Last Update Date2013-03-01
Business Address
-- AMANDA NICOLE JACKSON LPN
923 COTTAGE AVE
MIAMISBURG, OH 45342-1805
Phone number: 937-716-6219
Mailing Address
-- AMANDA NICOLE JACKSON LPN
923 COTTAGE AVE
MIAMISBURG, OH 45342-1805
Phone number: 937-716-6219
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