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Individual
DESMAINE JACKSON
Active
Individual
DESMAINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC- OB
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
308665
NC
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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