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Individual

JUSTIN LEE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
375 CONESTOGA WAY UNIT 4213, HENDERSON, NV 89002-1108
(702) 927-9898
Mailing address
375 CONESTOGA WAY UNIT 4213, HENDERSON, NV 89002-1108
(702) 927-9898

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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Product
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  • Eligibility checks
  • EDI platform