JACOB SHAW

specializing in peer specialist in Basin, Wyoming

NPI: 1396513719

Provider Type

1

Practice Locations

Mailing Location

1114 LANE 12

LOVELL, WY 82431

📞 3075486543

Practice Location

116 SOUTH 3RD STREET

BASIN, WY 82410

📞 3075682020

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:12/14/2023
Last Updated:12/14/2023

Credentials

Primary Credential:
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