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1326787763
JACOB RAY JENNESS
BLOOMINGTON, MN
NPI
1326787763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 3793)
Enumeration Date
2022-06-02
Last Update Date
2023-10-02
Business Address
JACOB RAY JENNESS OD
9801 DUPONT AVE S STE 200
BLOOMINGTON, MN 55431-3200
Phone number: 952-888-5800
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Mailing Address
JACOB RAY JENNESS OD
2312 23RD ST
SPIRIT LAKE, IA 51360-1044
Phone number: 712-336-1960
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