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1720388499
KELLI A JACKSON
CAMP HILL, PA
NPI
1720388499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN274366)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
-- KELLI A JACKSON LPN
423 N 21ST ST SUITE 100
CAMP HILL, PA 17011-2207
Phone number: 717-761-0930
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Mailing Address
-- KELLI A JACKSON LPN
390 PICNIC RD
LYKENS, PA 17048-9069
Phone number: 717-761-0930
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