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1235102831
JESSIE PRUETT JACOBS
CORPUS CHRISTI, TX
NPI
1235102831
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Former Name
JESSE PRUETT JACOBS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 13193)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
Dr. JESSIE PRUETT JACOBS DMD
10651 E ST ATTN: MARIA A. VILLAGOMEZ
CORPUS CHRISTI, TX 78419-5130
Phone number: 361-961-4311
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Mailing Address
Dr. JESSIE PRUETT JACOBS DMD
10651 E ST ATTN: MARIA A. VILLAGOMEZ
CORPUS CHRISTI, TX 78419-5130
Phone number: 361-961-4311
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