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1013438993
JACOB MARTIN EDGE
NEOSHO, MO
NPI
1013438993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2017018496)
Enumeration Date
2017-06-30
Last Update Date
2023-01-19
Business Address
JACOB MARTIN EDGE DO
336 S JEFFERSON ST
NEOSHO, MO 64850-1769
Phone number: 417-455-4200
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Mailing Address
JACOB MARTIN EDGE DO
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-4662
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