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Individual
JACOB STEVEN LAVERMAN
Active
Individual
JACOB STEVEN LAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
05012967A
IN
2255A2300X
Athletic Trainer
36002972A
IN
Other
Enumeration date
02/22/2019
Last updated
08/10/2020
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