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1952997637
JUSTIN JACKSON
HUNTINGTON, WV
NPI
1952997637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
JUSTIN JACKSON
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
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Mailing Address
JUSTIN JACKSON
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
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