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1578753117
DAVID MARC JACOBS
VENTURA, CA
NPI
1578753117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY 24721)
Enumeration Date
2007-07-30
Last Update Date
2012-07-20
Business Address
DR. DAVID MARC JACOBS
4476 MARKET ST
VENTURA, CA 93003-7775
Phone number: 310-204-1666
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Mailing Address
DR. DAVID MARC JACOBS
4476 MARKET ST
VENTURA, CA 93003-7775
Phone number: 310-204-1666
Copy
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