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1023799525
JERRY JACOB
CORAL SPRINGS, FL
NPI
1023799525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: FL 9454105)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
JERRY JACOB RN
10058 NW 49TH PL
CORAL SPRINGS, FL 33076-2418
Phone number: 954-895-9745
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Mailing Address
JERRY JACOB RN
10058 NW 49TH PL
CORAL SPRINGS, FL 33076-2418
Phone number: 954-895-9745
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