JACQUELINE DIANE JACKSON

ELYRIA, OH
NPI1811952765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN084359)
Enumeration Date2006-04-20
Last Update Date2008-04-09
Business Address
Mrs. JACQUELINE DIANE JACKSON LPN
417 KENYON AVE
ELYRIA, OH 44035-6413
Phone number: 440-322-7644
Mailing Address
Mrs. JACQUELINE DIANE JACKSON LPN
417 KENYON AVE
ELYRIA, OH 44035-6413
Phone number: 440-322-7644
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