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1285698670
KENNETH LEE DINE JACOBS
SPRINGFIELD, OH
NPI
1285698670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 34.005854)
Enumeration Date
2006-04-13
Last Update Date
2020-07-27
Business Address
KENNETH LEE DINE JACOBS D.O.
2615 E HIGH ST
SPRINGFIELD, OH 45505-1412
Phone number: 937-325-0531
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Mailing Address
KENNETH LEE DINE JACOBS D.O.
3131 NEWMARK DR STE 210
MIAMISBURG, OH 45342-5400
Phone number: 937-438-8910
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