JOSHUA DARNELL JACKSON

BATON ROUGE, LA
NPI1861943961
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  301245)
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
-- JOSHUA DARNELL JACKSON LAT, ATC
801 HARDING BLVD
BATON ROUGE, LA 70807-5326
Phone number: 817-312-9960
Mailing Address
-- JOSHUA DARNELL JACKSON LAT, ATC
1925 N 3RD ST APT 327
BATON ROUGE, LA 70802-5174
Phone number: 817-312-9960
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