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Individual
WELDON KARL JACKSON
Active
Individual
WELDON KARL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 1237
CA
237700000X
Hearing Instrument Specialist
HA 1750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4A 1750
—
CA
Enumeration date
08/05/2007
Last updated
07/08/2008
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