Individual
SHAWN JACOB JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4318
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8207
NE
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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