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1194731232
STEVEN VERGIL JACOBSEN
FREMONT, NE
NPI
1194731232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NE 780)
Additional Taxonomies
152W00000X Optometrist
(Licence: IA 01542)
Enumeration Date
2006-07-31
Last Update Date
2012-04-19
Business Address
-- STEVEN VERGIL JACOBSEN OD
1445 N BELL ST
FREMONT, NE 68025-3534
Phone number: 402-727-9220
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Mailing Address
-- STEVEN VERGIL JACOBSEN OD
PO BOX 72
FREMONT, NE 68026-0072
Phone number: 402-727-9220
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