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1740515931
RUSLANA JACKSON
NEW YORK, NY
NPI
1740515931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305212-1)
Enumeration Date
2009-10-06
Last Update Date
2023-05-16
Business Address
RUSLANA JACKSON NP
622 W 168TH ST PH 12
NEW YORK, NY 10032-3720
Phone number: 212-305-4625
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Mailing Address
RUSLANA JACKSON NP
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-342-3926
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