STEPHANIE JACKSON

LOGAN, WV
NPI1861098261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2020-12-10
Last Update Date2020-12-11
Business Address
STEPHANIE JACKSON
699 STRATTON ST
LOGAN, WV 25601-4020
Phone number: 304-752-6868
Mailing Address
STEPHANIE JACKSON
PO BOX 1346
LOGAN, WV 25601-1346
Phone number: 304-752-6868
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