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1700176534
JACOB EZRA SHABASON
LONE TREE, CO
NPI
1700176534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology Radiation Oncology
(Licence: CO DR.0070101)
Enumeration Date
2011-04-13
Last Update Date
2024-02-07
Business Address
JACOB EZRA SHABASON MD
10103 RIDGEGATE PKWY STE G01
LONE TREE, CO 80124-5521
Phone number: 720-225-4200
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Mailing Address
JACOB EZRA SHABASON MD
7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE, CO 80111-4758
Phone number: 303-930-7895
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