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Thomas Jackson

NPI 1851988547 · on the registry since 2020 · sole proprietor

Practice

Address
31780 Hamilton Rd
Richwood, OH 43344
Phone
(740) 751-2851

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-29

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