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1548099757
KATRINA MARCIA JACKSON
NEW LONDON, CT
NPI
1548099757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CT 576)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
KATRINA MARCIA JACKSON CNM
3 SHAWS CV STE 206
NEW LONDON, CT 06320-4968
Phone number: 860-443-4148
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Mailing Address
KATRINA MARCIA JACKSON CNM
402 CENTER ST
WEST HAVEN, CT 06516-4204
Phone number: 405-464-8126
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