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1609572585
RUSSELL JACOBS
VAN NUYS, CA
NPI
1609572585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
RUSSELL JACOBS
16650 SHERMAN WAY
VAN NUYS, CA 91406-3782
Phone number: 818-901-4836
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Mailing Address
RUSSELL JACOBS
13820 VICTORY BLVD APT 206
VAN NUYS, CA 91401-2332
Phone number: 267-496-6041
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