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David Jasper

Contractor in Stonewall, LA. Individual provider (NPI-1).

NPI number1629912902
StatusActive
Last updated in NPPESApr 16, 2026

Details

NPI
1629912902
Entity type
Individual (NPI-1)
Name
David Jasper
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 16, 2026
Certification date
Apr 16, 2026
Last updated
Apr 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

1318 Highway 171
Stonewall, LA 71078

Phone 318-925-9094

Mailing address

3209 Rose Place
Bossier City, LA 71112

Phone 318-925-9094

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