MICHAEL JACKSON

EGG HARBOR TWP, NJ
NPI1407150477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-01-05
Last Update Date2011-01-05
Business Address
-- MICHAEL JACKSON
6010 BLACK HORSE PIKE
EGG HARBOR TWP, NJ 08234-9752
Phone number: 609-272-8580
Mailing Address
-- MICHAEL JACKSON
PO BOX 1086
PLEASANTVILLE, NJ 08232
Phone number: 609-272-8580
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