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1063599660
STEVEN EUGENE JACOBS
BLOOMINGTON, IN
NPI
1063599660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10000243A)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Mr. STEVEN EUGENE JACOBS PA-C
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-1272
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Mailing Address
Mr. STEVEN EUGENE JACOBS PA-C
7860 N WEXFORD CT
BLOOMINGTON, IN 47408-9339
Phone number: 812-369-7921
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