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Latonia Jackson
NPI 1932938164 · on the registry since 2024 · sole proprietor
Practice
- Address
- 220 S Breiel Blvd
Middletown, OH 45044 - Phone
- (513) 849-8670
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-27
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