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1194332122
JACOB COUTURE
SAN DIEGO, CA
NPI
1194332122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95227776)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
JACOB COUTURE
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-876-4502
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Mailing Address
JACOB COUTURE
10725 RED CEDAR DR
SAN DIEGO, CA 92131-1203
Phone number:
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