Jaison Swank

NPI #1023258977 in West Plains, Missouri

Provider Information

NPI Number: 1023258977
Entity Type: Individual
Name: Jaison Swank
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 4, 2009
Last Updated: Mar 4, 2009

Practice Location

Address: 1015 LANTON RD
City: West Plains
State: Missouri
ZIP Code: 65775-3854
Phone: (417) 256-2570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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