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1285305359
EBONY JACKSON
DETROIT, MI
NPI
1285305359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
EBONY JACKSON
19137 WOODINGHAM DR
DETROIT, MI 48221-1650
Phone number: 313-702-0410
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Mailing Address
EBONY JACKSON
19137 WOODINGHAM DR
DETROIT, MI 48221-1650
Phone number: 313-702-0410
Copy
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