KELLEY R JACKSON

BUFFALO, NY
NPI1538586755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  246502-1)
Enumeration Date2014-03-26
Last Update Date2014-03-26
Business Address
KELLEY R JACKSON LPN
32 ERICSON AVE
BUFFALO, NY 14215-3808
Phone number: 480-233-0850
Mailing Address
KELLEY R JACKSON LPN
32 ERICSON AVE
BUFFALO, NY 14215-3808
Phone number: 480-233-0850
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