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Mark Jackson
NPI 1477860757 · on the registry since 2010
Practice
- Address
- 322 S Jefferson St
Louisa, KY 41230 - Phone
- (506) 638-3234
- Organisation at this address
- Jackson Peg Tube Stands
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Sex
- Male
- Record last updated
- 2010-09-08
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 Kentucky