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1043866502
MICHAEL JACKSON
COLUMBUS, OH
NPI
1043866502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
MICHAEL JACKSON
1801 WATERMARK DR STE 200
COLUMBUS, OH 43215-7088
Phone number: 614-487-8758
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Mailing Address
MICHAEL JACKSON
1801 WATERMARK DR STE 200
COLUMBUS, OH 43215-7088
Phone number: 614-487-8758
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