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1972930279
KIMBERLY JACKSON
COLUMBIA, SC
NPI
1972930279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: SC 116725E)
Enumeration Date
2013-10-01
Last Update Date
2013-10-01
Business Address
-- KIMBERLY JACKSON CNA
4020 ULMER RD 220
COLUMBIA, SC 29209-3305
Phone number: 803-708-9059
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Mailing Address
-- KIMBERLY JACKSON CNA
4020 ULMER RD 220
COLUMBIA, SC 29209-3305
Phone number: 803-708-9059
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