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1184323602
JACOB BURROUGHS
SAN FRANCISCO, CA
NPI
1184323602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-23
Last Update Date
2023-03-11
Business Address
JACOB BURROUGHS
4150 CLEMENT STREET BLDG. 200 1ST FLOOR, ROOM 1D-007
SAN FRANCISCO, CA 94121
Phone number: 415-221-4810
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Mailing Address
JACOB BURROUGHS
1258 BURNS RD
RADCLIFF, KY 40160-9307
Phone number: 270-272-8863
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