PHYLLIS JACKSON

ELMIRA, NY
NPI1780887018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  00394441)
Enumeration Date2007-06-06
Last Update Date2008-04-03
Business Address
PHYLLIS JACKSON
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number: 607-733-5696
Mailing Address
PHYLLIS JACKSON
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number:
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