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1699327601
STEPHEN JACOB
WILLIAMSPORT, PA
NPI
1699327601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: PA PT008080L)
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
STEPHEN JACOB
449 RIVER AVE
WILLIAMSPORT, PA 17701-3722
Phone number: 570-320-7458
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Mailing Address
STEPHEN JACOB
449 RIVER AVE
WILLIAMSPORT, PA 17701-3722
Phone number: 570-320-7458
Copy
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