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1558569749
IMAN ALIYA JACKSON
PLYMOUTH MEETING, PA
NPI
1558569749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN274139)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
Miss IMAN ALIYA JACKSON L.P.N.
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 800-879-4471
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Mailing Address
Miss IMAN ALIYA JACKSON L.P.N.
810 STIRLING ST
COATESVILLE, PA 19320-3521
Phone number: 484-880-0259
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