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1215625421
DAVID ALEXANDER JACKSON
CHARLESTON, WV
NPI
1215625421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 23-977)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
DAVID ALEXANDER JACKSON PRSS
1303 WASHINGTON ST W
CHARLESTON, WV 25302-1333
Phone number: 304-553-0010
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Mailing Address
DAVID ALEXANDER JACKSON PRSS
1303 WASHINGTON ST W
CHARLESTON, WV 25302-1333
Phone number: 304-553-0010
Copy
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