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Individual
MS. DARLENE SHAMARA JACKSON
Active
Individual
MS. DARLENE SHAMARA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
126907
OH
163W00000X
Registered Nurse
Primary
RN.356658
OH
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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