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Individual

DR. JACOB NEPHI DANIELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6440 N DURANGO DR BLDG B, SUITE 148, LAS VEGAS, NV 89149-8513
(510) 731-7453
Mailing address
6440 N DURANGO DR BLDG B, SUITE 148, LAS VEGAS, NV 89149-8513
(510) 731-7453

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01530
NV

Other

Enumeration date
05/02/2014
Last updated
07/13/2014
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