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1912362435
VIRGIL JACKSON
CLEVELAND, OH
NPI
1912362435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- VIRGIL JACKSON
8206 CRUMB AVE
CLEVELAND, OH 44103-2128
Phone number: 216-347-5776
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Mailing Address
-- VIRGIL JACKSON
8206 CRUMB AVE
CLEVELAND, OH 44103-2128
Phone number: 216-347-5776
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