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NPI Profile for BYRON R JACKSON SR in AMITE CITY, LA.
A person employed to operate a motor vehicle as a carrier of persons or property.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Driver |
172A00000X |
| NPI # | 1982304887 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/08/2023 | |
| Last updated | 03/08/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BYRON R JACKSON SR
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BYRON R JACKSON SR