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1346644671
JACOB JENNINGS
GALLUP, NM
NPI
1346644671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4153)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
Dr. JACOB JENNINGS DDS
1601 S SECOND ST
GALLUP, NM 87301-5816
Phone number: 505-722-4422
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Mailing Address
Dr. JACOB JENNINGS DDS
1601 S SECOND ST
GALLUP, NM 87301-5816
Phone number: 505-722-4422
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