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1477768653
BRUCE A JACOBSEN
BRANFORD, CT
NPI
1477768653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 004093)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Mr. BRUCE A JACOBSEN PT
84 N MAIN ST
BRANFORD, CT 06405-3009
Phone number: 203-789-3490
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Mailing Address
Mr. BRUCE A JACOBSEN PT
52 WHITE BIRCH DR
GUILFORD, CT 06437-2159
Phone number: 203-458-3466
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