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1174265904
JACOB AUSTIN CANFIELD
WACO, TX
NPI
1174265904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10078986)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
JACOB AUSTIN CANFIELD MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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Mailing Address
JACOB AUSTIN CANFIELD MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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