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1609951458
TIMOTHY LEE JACOBS
GRAND ISLAND, NE
NPI
1609951458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 5487 NE)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY LEE JACOBS DDS
2916 W STOLLEY PARK RD SUITE B
GRAND ISLAND, NE 68801-6807
Phone number: 308-382-6660
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Mailing Address
Dr. TIMOTHY LEE JACOBS DDS
2916 W STOLLEY PARK RD SUITE B
GRAND ISLAND, NE 68801-6807
Phone number: 308-382-6660
Copy
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