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1972113223
JEANINE JACKSON
ROCHESTER, NY
NPI
1972113223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 337707)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
JEANINE JACKSON LPN
65 BAXTER DR
ROCHESTER, NY 14626-2137
Phone number: 585-953-5091
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Mailing Address
JEANINE JACKSON LPN
65 BAXTER DR
ROCHESTER, NY 14626-2137
Phone number: 585-953-5091
Copy
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