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Individual

JACOB DANIEL SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA-C

Contact information

Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(136) 045-7043
Mailing address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(136) 045-7043

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
01/17/2023
Last updated
01/17/2023
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