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1891027538
ETHELYN L JACKSON
APO, AE
NPI
1891027538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 717137)
Enumeration Date
2010-02-05
Last Update Date
2023-02-20
Business Address
ETHELYN L JACKSON FNP
LANDSTUHL MEDICAL REGIONAL CENTER UNIT 3310,0
APO, AE 09180-3100
Phone number: 314-590-7363
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Mailing Address
ETHELYN L JACKSON FNP
1381 S MAIN STREET
BOERNE, TX 78006-2846
Phone number: 830-249-9424
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