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1457181968
JACOB SMITH
TUCSON, AZ
NPI
1457181968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
JACOB SMITH
2490 E RIVER RD STE 150
TUCSON, AZ 85718-6522
Phone number: 520-382-1084
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Mailing Address
JACOB SMITH
1155 HEAVENLY HARVEST PL UNIT 103
HENDERSON, NV 89002-1014
Phone number: 208-867-7134
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