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1720720667
JACOB LASER
DANVILLE, PA
NPI
1720720667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
JACOB LASER DO
100 N ACADEMY AVE
DANVILLE, PA 17822-0001
Phone number: 570-214-3673
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Mailing Address
JACOB LASER DO
85 VISCOUNT DR UNIT A66
MILFORD, CT 06460-5769
Phone number: 203-640-0256
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