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1922679489
BRIANNA SHANICE JACKSON
MILWAUKEE, WI
NPI
1922679489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5587-23)
Enumeration Date
2021-07-06
Last Update Date
2024-07-03
Business Address
Ms. BRIANNA SHANICE JACKSON PA-C
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-2709
Phone number: 414-372-8080
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Mailing Address
Ms. BRIANNA SHANICE JACKSON PA-C
2555 N DR MARTIN LUTHER KING JR DR
MILWAUKEE, WI 53212-2709
Phone number: 414-372-8080
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