JACOB GREGORY SHAFFER

MANKATO, MN
NPI1922760842
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  306194)
Enumeration Date2021-10-07
Last Update Date2021-10-07
Business Address
JACOB GREGORY SHAFFER
201 N BROAD ST
MANKATO, MN 56001-3585
Phone number: 507-828-6332
Mailing Address
JACOB GREGORY SHAFFER
1400 WARREN ST APT H32
MANKATO, MN 56001-6912
Phone number: 507-828-6332
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