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1053819946
JACOB BOBBA
CHARLESTON, SC
NPI
1053819946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC 5003)
Enumeration Date
2018-01-25
Last Update Date
2023-11-06
Business Address
JACOB BOBBA PA
316 CALHOUN ST
CHARLESTON, SC 29401-1113
Phone number: 843-720-3602
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Mailing Address
JACOB BOBBA PA
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number:
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