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Individual

JACOB AARON NAGELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1220 N HOWARD ST, SPOKANE, WA 99201-2410
(509) 505-4415
(509) 621-2011
Mailing address
1220 N HOWARD ST, SPOKANE, WA 99201-2410
(509) 505-4415
(509) 621-2011

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/10/2024
Last updated
04/10/2024
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