ROBERT JACKSON

PIPPA PASSES, KY
NPI1477862183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2010-09-29
Last Update Date2010-09-29
Business Address
-- ROBERT JACKSON
6870 HIGHWAY 899
PIPPA PASSES, KY 41844-8935
Phone number: 606-368-2802
Mailing Address
-- ROBERT JACKSON
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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