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Individual

JASON LEE SHERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3809 N MONROE ST, SPOKANE, WA 99205-2853
(509) 326-3795
Mailing address
3809 N MONROE ST, SPOKANE, WA 99205-2853
(509) 263-3795
(509) 464-0392

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH12700
FL
111N00000X
Chiropractor
Primary
CH61131051
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH61131051
WA CHIRO LICENSE NUMBER
WA
01
TT61158835
CHIROPRACTIC TEMPORARY LICENSE
WA
Enumeration date
02/26/2014
Last updated
06/16/2022
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