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1497175251
BRENT JAKUBEC
FORT WORTH, TX
NPI
1497175251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036.153888)
Enumeration Date
2014-04-21
Last Update Date
2020-08-24
Business Address
BRENT JAKUBEC M.D.
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3636
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Mailing Address
BRENT JAKUBEC M.D.
4525 N RAVENSWOOD AVE STE 201
CHICAGO, IL 60640-5201
Phone number: 312-857-8794
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