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1750709176
CHARTTISE JACKSON
BRONX, NY
NPI
1750709176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 314261)
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
-- CHARTTISE JACKSON
2849 ELY AVE UNIT 1
BRONX, NY 10469-6250
Phone number: 347-863-2187
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Mailing Address
-- CHARTTISE JACKSON
2849 ELY AVE UNIT 1
BRONX, NY 10469-6250
Phone number: 347-863-2187
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