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Individual

DEVIN JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
330 INNOVATION BLVD STE 205, STATE COLLEGE, PA 16803-6611
(814) 777-6694
Mailing address
330 INNOVATION BLVD STE 205, STATE COLLEGE, PA 16803-6611

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
PA

Other

Enumeration date
04/08/2026
Last updated
04/08/2026
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