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Individual

JAMIE L MABEUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2835 N GRANDVIEW BLVD STE 200, PEWAUKEE, WI 53072-5546
(262) 395-4015
Mailing address
2835 N GRANDVIEW BLVD STE 200, PEWAUKEE, WI 53072-5546
(262) 395-4015

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4937-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851732135
WI
Enumeration date
07/15/2013
Last updated
07/07/2024
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