SHELLY JACKSON

LANCASTER, OH
NPI1750823829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN- 145024)
Enumeration Date2016-11-07
Last Update Date2017-02-01
Business Address
-- SHELLY JACKSON
1592 GRANVILLE PIKE
LANCASTER, OH 43130-1076
Phone number: 740-687-0835
Mailing Address
-- SHELLY JACKSON
1592 GRANVILLE PIKE
LANCASTER, OH 43130-1076
Phone number:
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