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Individual
JACOBE JAMES BLAKE
Active
Individual
JACOBE JAMES BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61367040
WA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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