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1699242826
HEIDI ERICKA JACKSON
VANCOUVER, WA
NPI
1699242826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: OR 201801572RN)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
HEIDI ERICKA JACKSON rn
15606 NE 12TH WAY
VANCOUVER, WA 98684
Phone number: 541-401-3098
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Mailing Address
HEIDI ERICKA JACKSON rn
15606 NE 12TH WAY
VANCOUVER, WA 98684-4158
Phone number: 541-401-3098
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