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1710613757
JACKIE SMITH SIDES
MONROE, NC
NPI
1710613757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NC 71366)
Enumeration Date
2022-07-30
Last Update Date
2022-07-30
Business Address
JACKIE SMITH SIDES
1408 E FRANKLIN ST
MONROE, NC 28112-5160
Phone number: 704-625-2080
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Mailing Address
JACKIE SMITH SIDES
201 WILKES DR APT C7
MONROE, NC 28110-2731
Phone number: 704-465-5348
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