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1376084079
MICHELLE JACKSON
LEXINGTON, KY
NPI
1376084079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-03-14
Last Update Date
2017-03-14
Business Address
MICHELLE JACKSON
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
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Mailing Address
MICHELLE JACKSON
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
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