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Mr. Charles D Jackson
Driver in Cleveland, Ohio
NPI 1043655681

Charles D Jackson is a Driver based in Cleveland, OH. Charles D Jackson practices in Cleveland, OH. The NPI Number for Charles D Jackson is 1043655681 and holds a License No. RS884250 (Ohio).

The current practice location address for Charles D Jackson is 4856 W.12Th, Cleveland, OH and can be reached out via phone at 440-749-3019. You can also correspond with Charles D Jackson through the mailing address at 4856 W 12TH ST, CLEVELAND, OH - 44109-5611 (mailing address contact number: 440-749-3019).

Location: 4856 W.12Th, Cleveland, OH, 44109-5611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043655681
Provider Name
Charles D Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4856 W.12Th, Cleveland, OH, 44109-5611
Phone Number
440-749-3019
Fax Number
Provider Enumeration Date
05/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4856 W.12Th
City
Cleveland
State
Ohio
Zip
44109-3424
Phone Number
440-749-3019
Fax Number
person
Provider Business Mailing Address Details
Address
4856 W.12Th
City
Cleveland
State
Ohio
Zip
44109-3424
Phone Number
440-749-3019
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
RS884250 (Ohio)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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