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1770281099
SHANNON JACKSON
SACO, ME
NPI
1770281099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ME LPN12738)
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
SHANNON JACKSON LPN
2 LEHNER RD
SACO, ME 04072-1836
Phone number: 207-300-2471
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Mailing Address
SHANNON JACKSON LPN
2 LEHNER RD
SACO, ME 04072-1836
Phone number:
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