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1013533496
JACOB NICHOLS
PORTLAND, ME
NPI
1013533496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ME DEN4802)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
Dr. JACOB NICHOLS DMD
163 PLEASANT AVE
PORTLAND, ME 04103-3242
Phone number: 207-771-2093
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Mailing Address
Dr. JACOB NICHOLS DMD
27 BUCA RUN
PORTLAND, ME 04103-1478
Phone number: 207-408-1001
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