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1801243928
QUIANA JACKSON
ROCHESTER, NY
NPI
1801243928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 321273)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
-- QUIANA JACKSON
15 BERRY ST
ROCHESTER, NY 14609-7119
Phone number: 585-305-1784
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Mailing Address
-- QUIANA JACKSON
15 BERRY ST
ROCHESTER, NY 14609-7119
Phone number: 585-305-1784
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