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1528184611
SCOTT R. JACOB
PROVO, UT
NPI
1528184611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: UT 5853270-1205)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
DR. SCOTT R. JACOB M.D.
920 N 500 W
PROVO, UT 84604-3339
Phone number: 801-374-1801
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Mailing Address
DR. SCOTT R. JACOB M.D.
920 N 500 W
PROVO, UT 84604-3339
Phone number:
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