Individual
CHARLES JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4185 FRANKLIN ST, BELLAIRE, OH 43906-1167
(740) 312-5465
Mailing address
4185 FRANKLIN ST, BELLAIRE, OH 43906-1167
(740) 312-5465
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
NA
OH
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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