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1407127814
JACOB D VANN
MOBILE, AL
NPI
1407127814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1111984)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
Mr. JACOB D VANN CRNA
3719 DAUPHIN ST
MOBILE, AL 36608-1753
Phone number: 251-342-3000
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Mailing Address
Mr. JACOB D VANN CRNA
PO BOX 851417
MOBILE, AL 36685-1417
Phone number: 251-342-3000
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