DURELL JACOBS

SAN DIEGO, CA
NPI1508231606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: CA  1710l1002X-)
Enumeration Date2015-12-01
Last Update Date2015-12-01
Business Address
-- DURELL JACOBS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
Mailing Address
-- DURELL JACOBS IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
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