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1093065336
BRIAN EDWIN JACOBSON
CAMARILLO, CA
NPI
1093065336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 39343)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- BRIAN EDWIN JACOBSON PT
500 PASEO CAMARILLO SUITE 105
CAMARILLO, CA 93010-5900
Phone number: 805-987-6851
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Mailing Address
-- BRIAN EDWIN JACOBSON PT
132 CINDY AVE
NEWBURY PARK, CA 91320-4421
Phone number: 951-660-1259
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