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Larry Jackson, PA-C
NPI 1912928441 · on the registry since 2006 · sole proprietor
Practice
- Address
- 500 Gypsy Ln
Youngstown, OH 44504 - Phone
- (330) 884-1000
- Organisation at this address
- Valley Care
Forum Health
Mri Cooperative
Valleycare Health System
Forum Health Enterprises CoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Personal Emergency Response Attendant
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-20
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