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1689015778
TRACI ANN JACKSON
COLUMBUS, OH
NPI
1689015778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA.14777-NP)
Enumeration Date
2013-07-17
Last Update Date
2013-07-17
Business Address
Mrs. TRACI ANN JACKSON CNP
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214-3908
Phone number: 614-566-1997
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Mailing Address
Mrs. TRACI ANN JACKSON CNP
4669 SAHALEE DR
GROVE CITY, OH 43123-8179
Phone number: 614-364-2238
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