Individual
JUSTIN JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18790 SUBER RD, SIDNEY, OH 45365-8785
(937) 606-1158
Mailing address
18790 SUBER RD, SIDNEY, OH 45365-8785
(937) 606-1158
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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