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Individual
JESSE LEE BABCOCK
Active
Individual
JESSE LEE BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1454
SD
171100000X
Acupuncturist
1454
SD
Other
Enumeration date
01/09/2023
Last updated
07/12/2023
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