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1063947489
JONATHAN SHAFER
NEW YORK, NY
NPI
1063947489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- JONATHAN SHAFER
1 GUSTAVE L LEVY PL BOX 1259
NEW YORK, NY 10029-6504
Phone number: 716-478-9949
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Mailing Address
-- JONATHAN SHAFER
125 24TH ST
NEWPORT BEACH, CA 92663-3401
Phone number: 716-478-9949
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