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Glendora Jackson
NPI 1982033635 · on the registry since 2013 · sole proprietor
Practice
- Address
- 428 N Mccord Rd
Toledo, OH 43615 - Phone
- (419) 450-9943
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 3747A0650X
3747P1801X
372600000X
372500000X
374U00000X
376J00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-05-18
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