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1023490893
JONATHAN JACOBY
JOPLIN, MO
NPI
1023490893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2015016758)
Enumeration Date
2015-06-29
Last Update Date
2015-06-29
Business Address
JONATHAN JACOBY DDS
1411 S RANGE LINE RD
JOPLIN, MO 64801-5589
Phone number: 417-553-7377
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Mailing Address
JONATHAN JACOBY DDS
1411 S RANGE LINE RD
JOPLIN, MO 64801-5589
Phone number: 417-553-7377
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