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1366036519
DEBRA JACKSON
SUMMERSVILLE, WV
NPI
1366036519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-26
Last Update Date
2021-02-26
Business Address
DEBRA JACKSON
45 ERIC DR
SUMMERSVILLE, WV 26651-9525
Phone number: 304-651-1979
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Mailing Address
DEBRA JACKSON
45 ERIC DR
SUMMERSVILLE, WV 26651-9525
Phone number:
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