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1992005060
VICTORIA ELAINE JACKSON
SYRACUSE, NY
NPI
1992005060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10296863)
Enumeration Date
2010-10-23
Last Update Date
2010-10-23
Business Address
Ms. VICTORIA ELAINE JACKSON
1501 EUCLID AVE
SYRACUSE, NY 13224-1940
Phone number: 315-313-0515
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Mailing Address
Ms. VICTORIA ELAINE JACKSON
1501 EUCLID AVE
SYRACUSE, NY 13224-1940
Phone number: 315-313-0515
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