Larrell Lee Jackson
Larrell Lee Jackson is a Chore Provider in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4803 N 80th AveOmaha, NE 68134-3228
Phone: (402) 403-7673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chore Provider (primary) | Taxonomy 372500000X |
|---|
Record details
| NPI number | 1033929492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2025 |
| Last updated in NPPES | January 8, 2025 |
| Certification date | January 8, 2025 |
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