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1295320091
MATTHEW A JACOB
DULUTH, MN
NPI
1295320091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 10850)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
MATTHEW A JACOB
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555
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Mailing Address
MATTHEW A JACOB
915 E 1ST ST
DULUTH, MN 55805-2107
Phone number: 218-249-5555
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