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1154452639
MICHELLE TRUNK JACOBS
AZLE, TX
NPI
1154452639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 22881)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- MICHELLE TRUNK JACOBS DDS
264 SHORELINE DR
AZLE, TX 76020-4036
Phone number: 817-237-6457
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Mailing Address
-- MICHELLE TRUNK JACOBS DDS
264 SHORELINE DR
AZLE, TX 76020-4036
Phone number: 817-237-6457
Copy
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