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1073331807
CHARLES JACOB
DOVER, DE
NPI
1073331807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0014962)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
CHARLES JACOB
1288 S GOVERNORS AVE
DOVER, DE 19904-4802
Phone number: 302-677-0100
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Mailing Address
CHARLES JACOB
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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