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Reuben Jackson
NPI 1093144990 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1217 Buttonwood Dr
Fort Collins, CO 80525 - Phone
- (970) 305-6019
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado