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1376634204
JEFFREY HOWARD JACOB
FLORISSANT, MO
NPI
1376634204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MO TO2425)
Enumeration Date
2006-09-27
Last Update Date
2007-07-09
Business Address
Dr. JEFFREY HOWARD JACOB O.D.
3819 VAILE AVE
FLORISSANT, MO 63034-2227
Phone number: 314-838-3311
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Mailing Address
Dr. JEFFREY HOWARD JACOB O.D.
3819 VAILE AVE
FLORISSANT, MO 63034-2227
Phone number: 314-838-3311
Copy
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