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1417463456
JACOB TEMPLE
LAKELAND, FL
NPI
1417463456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 9259362)
Enumeration Date
2017-12-27
Last Update Date
2017-12-27
Business Address
JACOB TEMPLE DNP
3161 BELLFLOWER WAY
LAKELAND, FL 33811-3033
Phone number: 863-409-4802
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Mailing Address
JACOB TEMPLE DNP
3161 BELLFLOWER WAY
LAKELAND, FL 33811-3033
Phone number: 863-409-4802
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