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Individual

MR. JASON JONAS CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.M

Contact information

Practice address
6025 E. MCKELLIPS RD, SUITE 102, MESA, AZ 85215
(480) 370-0527
(480) 534-5927
Mailing address
6025 E. MCKELLIPS RD., SUITE 102, MESA, AZ 85215
(480) 370-0527
(480) 534-5927

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1013
AZ
171100000X
Acupuncturist
AP3431
FL
171100000X
Acupuncturist
Primary
APLAC1013
AZ

Other

Enumeration date
02/28/2013
Last updated
09/16/2021
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