Individual
JACOB HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7672 STAMPEDE DR, COLORADO SPRINGS, CO 80920-3717
(719) 930-6499
Mailing address
7672 STAMPEDE DR, COLORADO SPRINGS, CO 80920-3717
(719) 930-6499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0015118
CO
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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