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Individual
DEBORAH JACKSON
Active
Individual
DEBORAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN559912
PA
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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