STEVEN VERGIL JACOBSEN

FREMONT, NE
NPI1194731232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NE  780)
Additional Taxonomies152W00000X Optometrist
(Licence: IA  01542)
Enumeration Date2006-07-31
Last Update Date2012-04-19
Business Address
-- STEVEN VERGIL JACOBSEN OD
1445 N BELL ST
FREMONT, NE 68025-3534
Phone number: 402-727-9220
Mailing Address
-- STEVEN VERGIL JACOBSEN OD
PO BOX 72
FREMONT, NE 68026-0072
Phone number: 402-727-9220
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