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1831468420
LISA NICOLE JACKSON
BROOKLYN, NY
NPI
1831468420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 307662-1)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
LISA NICOLE JACKSON LPN
1599 PROSPECT PL APT 1E
BROOKLYN, NY 11233-4451
Phone number: 347-444-1936
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Mailing Address
LISA NICOLE JACKSON LPN
1599 PROSPECT 1E
BROOKLYN, NY 11233
Phone number: 347-444-1936
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