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Individual

JANICE C JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
307 FLINT CIR, PAPILLION, NE 68046-3734
(402) 560-8387
(402) 560-8387
Mailing address
8820 N 79TH ST, OMAHA, NE 68122-4094
(402) 216-7931

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
NE

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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