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Individual

JACOB ASTAPOVEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
16 CLARKE ST STE 12, LEXINGTON, MA 02421-4938
(617) 680-9436
Mailing address
16 CLARKE ST STE 12, LEXINGTON, MA 02421-4938

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI5125
MA

Other

Enumeration date
11/13/2024
Last updated
12/18/2024
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