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1568146165
MICHAEL LYNN JACKSON
MOUNT NEBO, WV
NPI
1568146165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
MICHAEL LYNN JACKSON
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
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Mailing Address
MICHAEL LYNN JACKSON
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
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