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1003513599
CHARLES DANGELO JACKSON
TROTWOOD, OH
NPI
1003513599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2023-02-14
Last Update Date
2023-02-14
Business Address
CHARLES DANGELO JACKSON
326 STUBBS DR
TROTWOOD, OH 45426-3109
Phone number: 513-328-5132
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Mailing Address
CHARLES DANGELO JACKSON
326 STUBBS DR
TROTWOOD, OH 45426-3109
Phone number: 513-328-5132
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