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1740564145
JACLYN MARIE KENNEDY
ERIE, PA
NPI
1740564145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN282692)
Enumeration Date
2011-10-04
Last Update Date
2011-10-04
Business Address
-- JACLYN MARIE KENNEDY
3627 ZUCK RD
ERIE, PA 16506-3346
Phone number: 814-341-7109
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Mailing Address
-- JACLYN MARIE KENNEDY
3627 ZUCK RD
ERIE, PA 16506-3346
Phone number: 814-341-7109
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