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1811354475
LATASHA SHERIA JACKSON
OKLAHOMA CITY, OK
NPI
1811354475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 65726)
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
-- LATASHA SHERIA JACKSON LPN
1200 N PHILLIPS AVE
OKLAHOMA CITY, OK 73104-4600
Phone number: 405-271-2244
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Mailing Address
-- LATASHA SHERIA JACKSON LPN
8411 S BROOKLINE AVE
OKLAHOMA CITY, OK 73159-6420
Phone number: 405-271-2244
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