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1174786081
JACOB DEAN LANDIS
BROCKTON, MA
NPI
1174786081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-10
Last Update Date
2008-07-11
Business Address
Mr. JACOB DEAN LANDIS MA
37 BELMONT ST
BROCKTON, MA 02301-5299
Phone number: 508-580-4691
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Mailing Address
Mr. JACOB DEAN LANDIS MA
37 BELMONT ST
BROCKTON, MA 02301-5299
Phone number: 508-580-4691
Copy
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