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1790290021
KYAWNA CHARELLE JACKSON
CLEVELAND, OH
NPI
1790290021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.166346.MEDS-IV)
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
Ms. KYAWNA CHARELLE JACKSON LPN
5209 EUCLID AVE
CLEVELAND, OH 44103-3703
Phone number: 216-785-0078
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Mailing Address
Ms. KYAWNA CHARELLE JACKSON LPN
5294 SHERWOOD DR
FAIRVIEW PARK, OH 44126-3025
Phone number: 216-374-5415
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