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1700060522
JUREA JUANITA JACKSON
WAYNESBORO, GA
NPI
1700060522
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Former Name
JUREA JUANITA COPELAND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN074224)
Enumeration Date
2007-12-28
Last Update Date
2007-12-28
Business Address
Mrs. JUREA JUANITA JACKSON LPN
351 S LIBERTY ST
WAYNESBORO, GA 30830-9686
Phone number: 706-554-4435
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Mailing Address
Mrs. JUREA JUANITA JACKSON LPN
5028 RIVER RD
WAYNESBORO, GA 30830-7533
Phone number: 706-554-9923
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