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Miss Elaine Mae Jackson
Public Health or Welfare Agency in Two Harbors, Minnesota
NPI 1548628860

Elaine Mae Jackson is a Public Health or Welfare Agency based in Two Harbors, MN. Elaine Mae Jackson practices in Two Harbors, MN. The NPI Number for Elaine Mae Jackson is 1548628860 and holds a License No. (Minnesota).

The current practice location address for Elaine Mae Jackson is 426 1St Ave, Two Harbors, MN and can be reached out via phone at 218-343-2308 and via fax at 218-834-2918.

Location: 426 1St Ave, Two Harbors, MN, 55616-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548628860
Provider Name
Elaine Mae Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
426 1St Ave, Two Harbors, MN, 55616-1614
Phone Number
218-343-2308
Fax Number
218-834-2918
Provider Enumeration Date
02/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
426 1St Ave
City
Two Harbors
State
Minnesota
Zip
55616-1614
Phone Number
218-343-2308
Fax Number
218-834-2918
person
Provider Business Mailing Address Details
Address
426 1St Ave
City
Two Harbors
State
Minnesota
Zip
55616-1614
Phone Number
218-343-2308
Fax Number
218-834-2918
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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