RAFAEL DOUGLAS JACKSON

PRINCETON, WV
NPI1689592271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2026-07-09
Last Update Date2026-07-09
Business Address
RAFAEL DOUGLAS JACKSON
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-425-9541
Mailing Address
RAFAEL DOUGLAS JACKSON
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-425-9541
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