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Individual
JAKE COBURN DAVIS
Active
Individual
JAKE COBURN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, MSPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO005925
—
224P00000X
Prosthetist
Primary
CPO04745
—
Other
Enumeration date
03/03/2020
Last updated
11/14/2022
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