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St.John Jackson
NPI 1396950945 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1590 W Galbraith Rd
6477 Devonwood Dr.
Cincinnati, OH 45231 - Phone
- (513) 542-9779
Registry record
- Primary taxonomy
- Non-emergency Medical Transport (VAN)
343900000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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