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WAYNE P JACKMAN — Medicare Enrolled Provider (ORDER AND REFERRING ONLY - DENTIST, OH)

WAYNE P JACKMAN — Medicare Enrolled Provider (ORDER AND REFERRING ONLY - DENTIST, OH) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: WAYNE P JACKMAN; Type: Individual; NPI: 1003071697.

NameWAYNE P JACKMAN
TypeIndividual
NPI1003071697
Provider typeORDER AND REFERRING ONLY - DENTIST
StateOH
Enrollment IDI20160321000187
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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