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1720654940
JACOB SHIELDS
JACKSON, MI
NPI
1720654940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501020040)
Enumeration Date
2021-05-28
Last Update Date
2024-07-10
Business Address
JACOB SHIELDS DPT
214 N WEST AVE STE B
JACKSON, MI 49201-1903
Phone number: 517-783-6670
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Mailing Address
JACOB SHIELDS DPT
3073 SHIRLEY DR
JACKSON, MI 49201-7010
Phone number: 517-990-6210
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