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1750340329
MARY L. JACKSON
MILWAUKEE, WI
NPI
1750340329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 34317031)
Enumeration Date
2006-03-21
Last Update Date
2008-02-29
Business Address
Ms. MARY L. JACKSON LPN
3822 N 27TH ST
MILWAUKEE, WI 53216-2608
Phone number: 414-444-9235
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Mailing Address
Ms. MARY L. JACKSON LPN
3822 N 27TH ST
MILWAUKEE, WI 53216-2608
Phone number:
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