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1700049749
BLAIN JACOBSON
GRANITE BAY, CA
NPI
1700049749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 56390)
Enumeration Date
2008-07-09
Last Update Date
2008-12-18
Business Address
-- BLAIN JACOBSON DMD
6910 DOUGLAS BLVD STE A
GRANITE BAY, CA 95746-6276
Phone number: 916-813-5363
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Mailing Address
-- BLAIN JACOBSON DMD
6910 DOUGLAS BLVD STE A #A
GRANITE BAY, CA 95746-6276
Phone number:
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