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1679175194
TESSA DAWN JACKSON
OKLAHOMA CITY, OK
NPI
1679175194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0051855)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
TESSA DAWN JACKSON LPN
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149-5203
Phone number: 405-616-3366
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Mailing Address
TESSA DAWN JACKSON LPN
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149-5203
Phone number: 405-616-3366
Copy
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