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1710320320
DEBRA A JACKSON
PINE BLUFF, AR
NPI
1710320320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L030099)
Enumeration Date
2013-04-12
Last Update Date
2013-04-12
Business Address
-- DEBRA A JACKSON
3450 W 34TH AVE
PINE BLUFF, AR 71603-5508
Phone number: 870-534-6067
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Mailing Address
-- DEBRA A JACKSON
1 CHILDRENS WAY SLOT 512-39
LITTLE ROCK, AR 72202-3500
Phone number: 501-526-8700
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