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1104088996
JINCY JACOB
INGLEWOOD, CA
NPI
1104088996
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Professional Name
JINCY JACOB
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10032427)
Enumeration Date
2008-07-02
Last Update Date
2015-04-08
Business Address
-- JINCY JACOB
832 S GREVILLEA AVE
INGLEWOOD, CA 90301-3312
Phone number: 310-419-4354
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Mailing Address
-- JINCY JACOB
832 S GREVILLEA AVE
INGLEWOOD, CA 90301-3312
Phone number: 310-419-4354
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