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1427539519
JOSEPH JACKSON
WARREN, OH
NPI
1427539519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: OH 167972)
Enumeration Date
2018-08-27
Last Update Date
2024-01-21
Business Address
JOSEPH JACKSON CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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Mailing Address
JOSEPH JACKSON CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number:
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