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1184319329
JACOB CHARLES SHALKEVICH
PHOENIX, AZ
NPI
1184319329
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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
2023-04-05
Last Update Date
2023-04-05
Business Address
JACOB CHARLES SHALKEVICH MD
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0945
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Mailing Address
JACOB CHARLES SHALKEVICH MD
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0945
Copy
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