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1124173521
KEVIN SEAN JACOB
DRY RIDGE, KY
NPI
1124173521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KY 1458DT)
Enumeration Date
2007-01-24
Last Update Date
2019-11-04
Business Address
DR. KEVIN SEAN JACOB O.D.
20 FERGUSON BLVD
DRY RIDGE, KY 41035-8635
Phone number: 859-824-1333
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Mailing Address
DR. KEVIN SEAN JACOB O.D.
9100 BRANTLEY WAY
FLORENCE, KY 41042-8684
Phone number: 859-384-7646
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