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1912345869
ATWALAUN CHANTELLE JACKSON
MEMPHIS, TN
NPI
1912345869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 0000048918)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
MRS. ATWALAUN CHANTELLE JACKSON LPN
1734 MADISON AVE
MEMPHIS, TN 38104-6414
Phone number: 901-722-9420
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Mailing Address
MRS. ATWALAUN CHANTELLE JACKSON LPN
1734 MADISON AVE
MEMPHIS, TN 38104-6414
Phone number: 901-722-9420
Copy
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