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1447447503
JACOB M SHORT
HUNTINGTON, WV
NPI
1447447503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 1310)
Enumeration Date
2007-10-02
Last Update Date
2022-03-31
Business Address
MR. JACOB M SHORT PAC
5170 US ROUTE 60
HUNTINGTON, WV 25705-2004
Phone number: 304-528-4600
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Mailing Address
MR. JACOB M SHORT PAC
5170 US RT 60 EAST
HUNTINGTON, WV 25705
Phone number: 304-528-4600
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