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Malinda M Jackson
Driver in Decatur, Illinois
NPI 1619648839

Malinda M Jackson is a Driver based in Decatur, IL. Malinda M Jackson practices in Decatur, IL. The NPI Number for Malinda M Jackson is 1619648839 and holds a License No. (Illinois).

The current practice location address for Malinda M Jackson is 411 E William St, Decatur, IL and can be reached out via phone at 217-590-7433 and via fax at 217-615-7176.

Location: 411 E William St, Decatur, IL, 62523-1140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619648839
Provider Name
Malinda M Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 E William St, Decatur, IL, 62523-1140
Phone Number
217-590-7433
Fax Number
217-615-7176
Provider Enumeration Date
09/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 E William St
City
Decatur
State
Illinois
Zip
62523-1140
Phone Number
217-590-7433
Fax Number
217-615-7176
person
Provider Business Mailing Address Details
Address
411 E William St
City
Decatur
State
Illinois
Zip
62523-1140
Phone Number
217-590-7433
Fax Number
217-615-7176
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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