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1649941576
AMANDA JACKSON
COLUMBUS, OH
NPI
1649941576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
AMANDA JACKSON
3770 N HIGH ST
COLUMBUS, OH 43214-3525
Phone number: 614-294-7117
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Mailing Address
AMANDA JACKSON
3180 DRAKE AVE
GROVEPORT, OH 43125-9006
Phone number: 614-625-4266
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