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1699182279
DEJA JACKSON
LORAIN, OH
NPI
1699182279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 41118080710)
Enumeration Date
2014-07-16
Last Update Date
2014-07-16
Business Address
-- DEJA JACKSON
2529 REEVES AVE F6
LORAIN, OH 44052-4279
Phone number: 440-654-9561
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Mailing Address
-- DEJA JACKSON
2529 REEVES AVE F6
LORAIN, OH 44052-4279
Phone number: 440-654-9561
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