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Mr. Jayson Clark
Driver in Lovington, New Mexico
NPI 1992477871

Jayson Clark is a Driver based in Lovington, NM. Jayson Clark practices in Lovington, NM. The NPI Number for Jayson Clark is 1992477871 and holds a License No. 57850 (New Mexico).

The current practice location address for Jayson Clark is 40 W Dickens Rd, Lovington, NM and can be reached out via phone at 575-659-4874. You can also correspond with Jayson Clark through the mailing address at 40 W DICKENS RD, LOVINGTON, NM - 88260-8715 (mailing address contact number: 575-659-4874).

Location: 40 W Dickens Rd, Lovington, NM, 88260-8715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992477871
Provider Name
Jayson Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
40 W Dickens Rd, Lovington, NM, 88260-8715
Phone Number
575-659-4874
Fax Number
Provider Enumeration Date
09/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
98781804 05 NM
institution
Provider Business Practice Location Address Details
Address
40 W Dickens Rd
City
Lovington
State
New Mexico
Zip
88260-8715
Phone Number
575-659-4874
Fax Number
person
Provider Business Mailing Address Details
Address
40 W Dickens Rd
City
Lovington
State
New Mexico
Zip
88260-8715
Phone Number
575-659-4874
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
57850 (New Mexico)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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