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1669568739
MARVIN JACOB
JACKSON, MS
NPI
1669568739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R123080)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
-- MARVIN JACOB
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
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Mailing Address
-- MARVIN JACOB
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
Copy
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