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1417589268
JACOB MICHAEL LEZON
FT. RUCKER, AL
NPI
1417589268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TX E3497387)
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
JACOB MICHAEL LEZON
30501 NEVINS ST.
FT. RUCKER, AL 36362
Phone number: 334-255-8071
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Mailing Address
JACOB MICHAEL LEZON
30501 NEVINS ST.
FT. RUCKER, AL 36362
Phone number: 334-255-8071
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