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1588322937
SHANTALAE D JACKSON
CAMP HILL, PA
NPI
1588322937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001271060)
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
Mrs. SHANTALAE D JACKSON RN
30 HUNTER LN
CAMP HILL, PA 17011-2400
Phone number: 800-748-3243
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Mailing Address
Mrs. SHANTALAE D JACKSON RN
30 HUNTER LN
CAMP HILL, PA 17011-2400
Phone number: 800-748-3243
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