RANDY JACKSON

JACKSON, OH
NPI1407470719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  APRN.CRNA.0020099)
Enumeration Date2020-06-02
Last Update Date2021-01-21
Business Address
RANDY JACKSON CRNA
280 PATTONSVILLE RD
JACKSON, OH 45640-9452
Phone number: 740-446-5000
Mailing Address
RANDY JACKSON CRNA
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5387
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