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1245931153
JAKOB CREED
CANNON AFB, NM
NPI
1245931153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2023-03-16
Last Update Date
2023-08-11
Business Address
JAKOB CREED
224 W D. L. INGRAM AVE 1408
CANNON AFB, NM 88101
Phone number: 832-472-1645
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Mailing Address
JAKOB CREED
15338 CHESHUNT LN
CHANNELVIEW, TX 77530-2202
Phone number: 832-472-1645
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