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1376198614
JACOB MICHAEL SHAW
BATON ROUGE, LA
NPI
1376198614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 320113)
Enumeration Date
2019-08-05
Last Update Date
2022-12-21
Business Address
Mr. JACOB MICHAEL SHAW PA-C
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816-3254
Phone number: 225-761-5200
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Mailing Address
Mr. JACOB MICHAEL SHAW PA-C
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816-3254
Phone number: 225-761-5200
Copy
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