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1164039855
JAMES JACOB
MINEOLA, NY
NPI
1164039855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 632221)
Enumeration Date
2020-09-26
Last Update Date
2020-09-26
Business Address
JAMES JACOB
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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Mailing Address
JAMES JACOB
10716 91ST ST
OZONE PARK, NY 11417-1421
Phone number: 347-255-5086
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