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1568693570
JEFFREY T JACOB
MEDFORD, OR
NPI
1568693570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D10806)
Enumeration Date
2009-08-07
Last Update Date
2018-07-03
Business Address
Dr. JEFFREY T JACOB DMD
906 ROYAL CT
MEDFORD, OR 97504
Phone number: 541-414-0519
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Mailing Address
Dr. JEFFREY T JACOB DMD
1000 E MAIN ST
MEDFORD, OR 97504-7667
Phone number: 541-414-0519
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