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Individual

SASHA C'MONE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6073 GLENWAY DR APT N, BROOKPARK, OH 44142-1459
(216) 543-0429
Mailing address
6073 GLENWAY DR APT N, BROOKPARK, OH 44142-1459
(216) 543-0429

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
03/24/2025
Last updated
03/24/2025
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