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1609313840
LAKESHIA JACKSON
SAGINAW, MI
NPI
1609313840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704295598)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- LAKESHIA JACKSON Nurse practitioner
912 S WASHINGTON AVE
SAGINAW, MI 48601-2564
Phone number: 989-791-4114
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Mailing Address
-- LAKESHIA JACKSON Nurse practitioner
3265 NORTHWEST DR
SAGINAW, MI 48603-2334
Phone number: 989-274-7886
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