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1699094326
EBONY MARIE JACKSON
ROCHESTER, NY
NPI
1699094326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 299869-1)
Enumeration Date
2010-05-20
Last Update Date
2010-05-20
Business Address
Miss EBONY MARIE JACKSON lpn
39 DUNBAR ST
ROCHESTER, NY 14619-2142
Phone number: 585-789-0302
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Mailing Address
Miss EBONY MARIE JACKSON lpn
39 DUNBAR ST
ROCHESTER, NY 14619-2142
Phone number: 585-789-0302
Copy
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