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1750870986
CHARLES JACKSON
COLUMBUS, GA
NPI
1750870986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
CHARLES JACKSON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-580-7390
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Mailing Address
CHARLES JACKSON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-580-7390
Copy
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