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1083611669
ALI BEN-JACOB
LOGAN, UT
NPI
1083611669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: UT 292373-1205)
Enumeration Date
2005-06-28
Last Update Date
2014-11-03
Business Address
-- ALI BEN-JACOB MD
1281 NORTH 600 EAST
LOGAN, UT 84341-2443
Phone number: 435-752-5999
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Mailing Address
-- ALI BEN-JACOB MD
1281 NORTH 600 EAST
LOGAN, UT 84341-2443
Phone number: 435-752-5999
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