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1801269840
COLLEEN Q JACKSON
SYRACUSE, NY
NPI
1801269840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 242216)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- COLLEEN Q JACKSON LPN
224 HARRISON ST SUITE 680
SYRACUSE, NY 13202-3056
Phone number: 315-476-0600
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Mailing Address
-- COLLEEN Q JACKSON LPN
224 HARRISON ST SUITE 680
SYRACUSE, NY 13202-3056
Phone number: 315-476-0600
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