JACOB MARK JAMES

GLENDALE, AZ
NPI1669177143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
JACOB MARK JAMES DO
18701 N 67TH AVE
GLENDALE, AZ 85308-7100
Phone number: 877-934-9355
Mailing Address
JACOB MARK JAMES DO
1226 MILLBRIDGE LN
WEST BOUNTIFUL, UT 84087-1418
Phone number: 801-673-7413
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