VIRGIL JACKSON

CLEVELAND, OH
NPI1912362435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2015-12-29
Last Update Date2015-12-29
Business Address
-- VIRGIL JACKSON
8206 CRUMB AVE
CLEVELAND, OH 44103-2128
Phone number: 216-347-5776
Mailing Address
-- VIRGIL JACKSON
8206 CRUMB AVE
CLEVELAND, OH 44103-2128
Phone number: 216-347-5776
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