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Billy Jackson
NPI 1487242400 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3225 Amanda Dr
Dayton, OH 45406 - Phone
- (937) 789-6646
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 3747P1801X
376J00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-05
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