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1558806687
SHIRLEY JACKSON
YOUNGSTOWN, OH
NPI
1558806687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: OH RN218146)
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
-- SHIRLEY JACKSON
2151 RUSH BLVD
YOUNGSTOWN, OH 44507-1535
Phone number: 330-744-1181
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Mailing Address
-- SHIRLEY JACKSON
2151 RUSH BLVD
YOUNGSTOWN, OH 44507-1535
Phone number: 330-744-1181
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