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1801932090
JOY LYNETTE JACKSON
DETROIT, MI
NPI
1801932090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703077724)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mrs. JOY LYNETTE JACKSON LPN
19193 MANSFIELD ST
DETROIT, MI 48235-2316
Phone number: 313-272-1052
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Mailing Address
Mrs. JOY LYNETTE JACKSON LPN
19193 MANSFIELD ST
DETROIT, MI 48235-2316
Phone number: 313-272-1052
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