ALLEN JACKSON

GRAND RAPIDS, MI
NPI1902281645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: MI  J250051155983)
Enumeration Date2015-07-23
Last Update Date2015-07-23
Business Address
-- ALLEN JACKSON
GENERAL DELIVERY
GRAND RAPIDS, MI 49501-9999
Phone number: 616-954-5095
Mailing Address
-- ALLEN JACKSON
GENERAL DELIVERY
GRAND RAPIDS, MI 49501-9999
Phone number: 616-954-5095
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