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1013590348
SOPHIA ANN JACOB
MINEOLA, NY
NPI
1013590348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
Dr. SOPHIA ANN JACOB MD
222 STATION PLZ N STE 300
MINEOLA, NY 11501-3893
Phone number: 516-663-8706
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Mailing Address
Dr. SOPHIA ANN JACOB MD
222 STATION PLZ N STE 300
MINEOLA, NY 11501-3893
Phone number:
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