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Individual
MONICA L. JACKSON
Active
Individual
MONICA L. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
151022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151022
OHIO BOARD OF NURSING
OH
Enumeration date
11/05/2012
Last updated
11/05/2012
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