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1487407698
JACOB ROVIRA
GULFPORT, MS
NPI
1487407698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-08
Last Update Date
2024-04-09
Business Address
JACOB ROVIRA
4500 13TH ST
GULFPORT, MS 39501-2515
Phone number: 228-867-4000
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Mailing Address
JACOB ROVIRA
612 METAIRIE LAWN DR
METAIRIE, LA 70001
Phone number: 504-296-9301
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