ANTWOINE JACKSON

SHEPHERDSVILLE, KY
NPI1922328855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2010-06-02
Last Update Date2011-06-09
Business Address
-- ANTWOINE JACKSON
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165-0690
Phone number: 502-589-8600
Mailing Address
-- ANTWOINE JACKSON
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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