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1396897393
BRUCE PAUL JACOBS
FORT MYERS, FL
NPI
1396897393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS17558)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Mr. BRUCE PAUL JACOBS RPh
2665 CLEVELAND AVE SUITE 103
FORT MYERS, FL 33901-5850
Phone number: 239-332-1612
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Mailing Address
Mr. BRUCE PAUL JACOBS RPh
6799 HIGHLAND PINES CIR
FORT MYERS, FL 33912-1378
Phone number: 239-561-2757
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