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1992125199
ANITA JUNE JACKSON
LOUISVILLE, KY
NPI
1992125199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0400X Registered Nurse, Rehabilitation
(Licence: MO 2014008537)
Enumeration Date
2014-04-26
Last Update Date
2014-04-26
Business Address
Ms. ANITA JUNE JACKSON
680 S 4TH ST
LOUISVILLE, KY 40202-2407
Phone number: 800-996-7566
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Mailing Address
Ms. ANITA JUNE JACKSON
5806 MEADOW BROOK CT
SAINT JOSEPH, MO 64503-2302
Phone number: 816-752-6556
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