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1023204534
JASON MICHAEL SHACKELFORD
JENKINTOWN, PA
NPI
1023204534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD436110)
Enumeration Date
2007-09-18
Last Update Date
2014-07-14
Business Address
Dr. JASON MICHAEL SHACKELFORD M.D.
500 OLD YORK RD SUITE 203
JENKINTOWN, PA 19046-2852
Phone number: 215-886-0174
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Mailing Address
Dr. JASON MICHAEL SHACKELFORD M.D.
500 OLD YORK RD SUITE 203
JENKINTOWN, PA 19046-2852
Phone number: 215-886-0174
Copy
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