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1447792668
DEWAYNE JACKSON
FLINT, MI
NPI
1447792668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: MI T192947)
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- DEWAYNE JACKSON Personal Trainer
4500 S SAGINAW ST
FLINT, MI 48507-2676
Phone number: 810-265-7121
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Mailing Address
-- DEWAYNE JACKSON Personal Trainer
2446 GREEN PINE DR APT 5
BURTON, MI 48519-1185
Phone number: 810-391-6328
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