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1043594302
CHARLES JACOBS
PLYMOUTH MEETING, PA
NPI
1043594302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MD R166756)
Enumeration Date
2011-10-05
Last Update Date
2011-10-05
Business Address
-- CHARLES JACOBS
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- CHARLES JACOBS
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number:
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