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Breyon Jackson
NPI 1043659576 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3132 Idlewood Ave
Youngstown, OH 44511 - Phone
- (330) 423-3523
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Sex
- Male
- Record last updated
- 2013-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio