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1336460104
LUKE J JACOBSEN
SCOTTSDALE, AZ
NPI
1336460104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ D8007)
Enumeration Date
2010-06-16
Last Update Date
2014-05-27
Business Address
Dr. LUKE J JACOBSEN D.D.S.
10603 N HAYDEN RD H-113
SCOTTSDALE, AZ 85260-5504
Phone number: 480-284-6324
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Mailing Address
Dr. LUKE J JACOBSEN D.D.S.
10603 N HAYDEN RD H-113
SCOTTSDALE, AZ 85260-5504
Phone number: 480-284-6324
Copy
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