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Individual
JACOB EUGENE SHULTZ
Active
Individual
JACOB EUGENE SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006133
PA
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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