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1306205844
DELANCY JACKSON
FREDERICKSBURG, VA
NPI
1306205844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2016-02-11
Last Update Date
2016-02-11
Business Address
-- DELANCY JACKSON
11227 TRISLER DR
FREDERICKSBURG, VA 22407-6475
Phone number: 540-273-0444
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Mailing Address
-- DELANCY JACKSON
11227 TRISLER DR
FREDERICKSBURG, VA 22407-6475
Phone number: 540-273-0444
Copy
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