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Individual

JESSE ELLIOT ROSENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
13317 NE 12TH AVE STE 115B, VANCOUVER, WA 98685-2731
(360) 217-0065
Mailing address
13317 NE 12TH AVE STE 115B, VANCOUVER, WA 98685-2731
(406) 533-8984

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61093335
WA

Other

Enumeration date
07/27/2020
Last updated
01/20/2023
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