KEVIN JACKSON

CHILLICOTHE, OH
NPI1992932404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2009-06-11
Last Update Date2009-06-11
Business Address
-- KEVIN JACKSON
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 740-773-1141
Mailing Address
-- KEVIN JACKSON
5615 PLEASANT VALLEY RD SW
LANCASTER, OH 43130-8916
Phone number:
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FUNCTION NUTRITION & WELLNESS LLC