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Deshawnte Jackson

NPI 1811735756 · on the registry since 2024 · sole proprietor

Practice

Address
12617 Maple Leaf Dr
Garfield Hts, OH 44125
Phone
(502) 249-4758

Registry record

Primary taxonomy
376J00000X
376J00000X
Also registered as
251B00000X
253Z00000X
3104A0630X
343900000X
385H00000X
Sex
Female
Record last updated
2024-07-16

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 Ohio