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Individual

MRS. KHRISTIE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5085
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5085

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
231925
SC

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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