Individual
JACK RUSSELL MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
126 YORK AVE, BOARDMAN, OH 44512-5615
(330) 726-3339
(330) 726-0482
Mailing address
126 YORK AVE, BOARDMAN, OH 44512-5615
(330) 726-3339
(330) 726-0482
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
IL.03533
OH
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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