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1265649966
GARTH R JACOBSEN
SAN DIEGO, CA
NPI
1265649966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA A99668)
Additional Taxonomies
208600000X Surgery
(Licence: IL 036.107801)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Dr. GARTH R JACOBSEN MD
200 W ARBOR DRIVE #8220
SAN DIEGO, CA 92103-8220
Phone number: 619-543-6711
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Mailing Address
Dr. GARTH R JACOBSEN MD
2S661 AVE NORMANDY W
OAK BROOK, IL 60523
Phone number: 630-271-1363
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