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1487713905
LAWRENCE JACOBY
PORTLAND, ME
NPI
1487713905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ME 7705)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
-- LAWRENCE JACOBY DMD, MPH
276 CANCO RD
PORTLAND, ME 04103-4351
Phone number: 207-874-1025
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Mailing Address
-- LAWRENCE JACOBY DMD, MPH
276 CANCO RD
PORTLAND, ME 04103-4351
Phone number: 207-874-1025
Copy
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