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1720030349
JOSEPH JACOB
CAPE GIRARDEAU, MO
NPI
1720030349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
(Licence: MO 36615)
Enumeration Date
2006-05-16
Last Update Date
2010-08-16
Business Address
-- JOSEPH JACOB
150 S MOUNT AUBURN RD STE 344
CAPE GIRARDEAU, MO 63703-4910
Phone number: 573-331-5515
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Mailing Address
-- JOSEPH JACOB
PO BOX 843225
KANSAS CITY, MO 64184-3225
Phone number: 708-633-1234
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