▤About This Provider
COREY JACK is a healthcare provider practicing in SUNSET, LA. According to NPPES records, the primary healthcare taxonomy is Healthcare professional.
This profile identifies This healthcare professional as a Healthcare professional provider serving SUNSET, LA.
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This information is sourced from the National Plan and Provider Enumeration System (NPPES), maintained by the Centers for Medicare & Medicaid Services (CMS). Confirm services and availability directly with the provider.
✣Provider Details
- Provider Name
- COREY JACK
- Provider Type
- Individual
- Credential
- Not listed
- Primary Taxonomy
- 101YM0800X
- State
- LA
- City
- SUNSET
- ZIP Code
- 705846212
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