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1639812670
MICHAEL L JACKSON
LEXINGTON, KY
NPI
1639812670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
Mr. MICHAEL L JACKSON BA
1353 W MAIN ST STE 100
LEXINGTON, KY 40508-2065
Phone number: 859-245-2400
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Mailing Address
Mr. MICHAEL L JACKSON BA
1353 W MAIN ST STE 100
LEXINGTON, KY 40508-2065
Phone number: 859-245-2400
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