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Individual
MR. JACK EDWARD JONES II
Active
Individual
MR. JACK EDWARD JONES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
482707
CA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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