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JACOB SHAW

Peer Specialist

NPI: 1396513719Individual

Specialties, Licenses & Credentials

Peer Specialist

Code: 175T00000X

143(WY)

Contact & Hours

Address
116 SOUTH 3RD STREET
BASIN, WY 82410

Quick Facts

NPI
1396513719
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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