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1871264309
MARCIE JACKSON
CANTON, MI
NPI
1871264309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: MI 4704297558)
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
MARCIE JACKSON
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 734-397-3088
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Mailing Address
MARCIE JACKSON
15115 ARTESIAN ST
DETROIT, MI 48223-2282
Phone number: 313-828-1131
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