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1487023032
KELLY I JACKSON
DAYTON, OH
NPI
1487023032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- KELLY I JACKSON
601 S EDWIN C MOSES BLVD SAMARITAN BEHAVIORAL HEALTH INC, 1ST FLOOR NW BLDG
DAYTON, OH 45417-3424
Phone number: 937-734-8333
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Mailing Address
-- KELLY I JACKSON
601 S EDWIN C MOSES BLVD SAMARITAN BEHAVIORAL HEALTH INC, 4TH FLOOR NW BLDG
DAYTON, OH 45417-3424
Phone number: 937-734-8333
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