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1508273376
TRAVIS DAVID JACOB
MUNSTER, IN
NPI
1508273376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OH RPH. 03234093)
Enumeration Date
2014-07-14
Last Update Date
2018-06-13
Business Address
Dr. TRAVIS DAVID JACOB Pharm D
901 MACARTHUR BLVD
MUNSTER, IN 46321
Phone number: 219-836-1600
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Mailing Address
Dr. TRAVIS DAVID JACOB Pharm D
911 S MAIN ST
CENTERVILLE, OH 45458-5801
Phone number:
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