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1417605940
ENDIA JACKSON
CLEVELAND, OH
NPI
1417605940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-03-14
Last Update Date
2024-02-28
Business Address
ENDIA JACKSON
26055 EMERY RD STE G
CLEVELAND, OH 44128-6211
Phone number: 216-342-4445
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Mailing Address
ENDIA JACKSON
5963 KENTSHIRE DR
DAYTON, OH 45440-4253
Phone number: 937-952-6379
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