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1366462939
EDWIN LAWRENCE JACOBS
BURBANK, CA
NPI
1366462939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA G62813)
Enumeration Date
2006-07-19
Last Update Date
2012-04-10
Business Address
-- EDWIN LAWRENCE JACOBS M.D.
181 S BUENA VISTA ST 4RTH FLOOR
BURBANK, CA 91505-4504
Phone number: 818-840-0921
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Mailing Address
-- EDWIN LAWRENCE JACOBS M.D.
PO BOX 51194
LOS ANGELES, CA 90051-5494
Phone number: 818-840-0921
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