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1134559651
JIMMY JACOB
LAS VEGAS, NV
NPI
1134559651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-11-19
Last Update Date
2013-11-19
Business Address
-- JIMMY JACOB
3185 MOUNTAIN SPRING RD
LAS VEGAS, NV 89146-7915
Phone number: 702-338-4129
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Mailing Address
-- JIMMY JACOB
3185 MOUNTAIN SPRING RD
LAS VEGAS, NV 89146-7915
Phone number: 702-338-4129
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