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1346733755
JACOB A JEFFREYS
SAN DIEGO, CA
NPI
1346733755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
JACOB A JEFFREYS IDC
2994 B ST
SAN DIEGO, CA 92102-2212
Phone number: 850-218-3637
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Mailing Address
JACOB A JEFFREYS IDC
2994 B ST
SAN DIEGO, CA 92102-2212
Phone number: 850-218-3637
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