SHAWNTE DEON JACKSON

ROCHESTER, NY
NPI1538498589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  291177-1)
Enumeration Date2009-12-21
Last Update Date2009-12-21
Business Address
-- SHAWNTE DEON JACKSON LPN
196 ALAMEDA ST
ROCHESTER, NY 14613-1443
Phone number: 585-647-2612
Mailing Address
-- SHAWNTE DEON JACKSON LPN
196 ALAMEDA ST
ROCHESTER, NY 14613-1443
Phone number: 585-647-2612
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