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1366557530
MYKLE A JACOBS
LAGRANGE, GA
NPI
1366557530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO 2005012885)
Enumeration Date
2006-08-20
Last Update Date
2020-08-11
Business Address
Dr. MYKLE A JACOBS D.D.S.
1587 VERNON RD
LAGRANGE, GA 30240-4146
Phone number: 706-884-2655
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Mailing Address
Dr. MYKLE A JACOBS D.D.S.
1587 VERNON RD
LAGRANGE, GA 30240-4146
Phone number: 706-884-2655
Copy
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