Individual
PHILLIP A JACKSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 HILLSIDE CIR APT 1, MANSFIELD, OH 44907-1763
(614) 886-8392
Mailing address
237 HILLSIDE CIR APT 1, MANSFIELD, OH 44907-1763
(614) 886-8392
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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