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Corey N Jackson
Home Modifications Contractor in La Vergne, Tennessee
NPI 1972873321

Corey N Jackson is a Home Modifications Contractor based in La Vergne, TN and is specialized in Home Modifications. Corey N Jackson practices in La Vergne, TN. The NPI Number for Corey N Jackson is 1972873321 and holds a License No. (Tennessee).

The current practice location address for Corey N Jackson is 130 Mankin Pl, La Vergne, TN and can be reached out via phone at 931-722-1443.

Location: 130 Mankin Pl, La Vergne, TN, 37086-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972873321
Provider Name
Corey N Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 Mankin Pl, La Vergne, TN, 37086-3048
Phone Number
931-722-1443
Fax Number
Provider Enumeration Date
01/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Mankin Pl
City
La Vergne
State
Tennessee
Zip
37086-3048
Phone Number
931-722-1443
Fax Number
person
Provider Business Mailing Address Details
Address
130 Mankin Pl
City
La Vergne
State
Tennessee
Zip
37086-3048
Phone Number
931-722-1443
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
()
Definition
Definition to come...
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