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1427788975
MICHAEL L JACOBSEN
VICTORVILLE, CA
NPI
1427788975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 30185)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
MICHAEL L JACOBSEN
12587 HESPERIA RD
VICTORVILLE, CA 92395-8308
Phone number: 760-951-7752
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Mailing Address
MICHAEL L JACOBSEN
12587 HESPERIA RD
VICTORVILLE, CA 92395-8308
Phone number: 760-951-7752
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