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Individual

JACOB HYRUM SHETTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
855 S DOBSON RD STE 2, CHANDLER, AZ 85224-5719
(480) 783-0708
Mailing address
337 N BEVERLY, MESA, AZ 85201-6314
(801) 318-7376

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
18-1728
AZ

Other

Enumeration date
09/22/2018
Last updated
09/22/2018
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