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1164034948
CLIFTON E JACKMAN
BARBOURSVILLE, WV
NPI
1164034948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
CLIFTON E JACKMAN
5 SANSOM CT
BARBOURSVILLE, WV 25504-1600
Phone number: 304-736-4148
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Mailing Address
CLIFTON E JACKMAN
5 SANSOM CT
BARBOURSVILLE, WV 25504-1600
Phone number: 304-736-4148
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