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1295802148
PETER J. JACOB
PANORAMA CITY, CA
NPI
1295802148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA A35470)
Enumeration Date
2006-11-29
Last Update Date
2008-09-23
Business Address
PETER J. JACOB MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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Mailing Address
PETER J. JACOB MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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