MISS Elaine Mae Jackson

NPI #1548628860 in Two Harbors, Minnesota

Provider Information

NPI Number
1548628860
Entity Type
Individual
Name
MISS Elaine Mae Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Public Health or Welfare
Enumeration Date
Feb 1, 2016
Last Updated
Feb 1, 2016

Practice Location

Address
426 1ST AVE
ZIP Code
55616-1614
Phone
(218) 343-2308

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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Provider Name
Lake County

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