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1982151130
JESSICA JACKSON
ROCHESTER, NY
NPI
1982151130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 322730)
Enumeration Date
2016-09-06
Last Update Date
2016-09-06
Business Address
-- JESSICA JACKSON
25 GREEN KNOLLS DR APT D
ROCHESTER, NY 14620-4777
Phone number: 585-362-2270
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Mailing Address
-- JESSICA JACKSON
PO BOX 23801
ROCHESTER, NY 14692-3801
Phone number:
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