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1003246828
JACOB GENERAL SURGERY, LLC
METAIRIE, LA
NPI
1003246828
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Entity Type
Organization
Authorized Contact
RYAN ANDRE JACOB
Owner
504-264-9353
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: LA 201551)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
JACOB GENERAL SURGERY, LLC
4228 HOUMA BLVD SUITE 220
METAIRIE, LA 70006-3000
Phone number: 504-264-9353
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Mailing Address
JACOB GENERAL SURGERY, LLC
4228 HOUMA BLVD SUITE 220
METAIRIE, LA 70006-3000
Phone number: 504-264-9353
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