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Individual
JEFFREY SHIBATA
Active
Individual
JEFFREY SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1619615929
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2022
Last updated
11/15/2024
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