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Individual

DR. JONATHON MERRELL HESLOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1211 N 20TH AVE, PASCO, WA 99301
(509) 547-1759
(509) 547-1759
Mailing address
8118 KOOTENAY CT, PASCO, WA 99301-6799
(509) 346-5822
(509) 547-1759

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60789723
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60789723
WA
Enumeration date
09/26/2017
Last updated
10/01/2019
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