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1730369018
GREGORY D JACOBS
COLUMBUS, NE
NPI
1730369018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA05449)
Enumeration Date
2007-11-05
Last Update Date
2021-01-11
Business Address
GREGORY D JACOBS PA-C
3100 23RD ST STE T
COLUMBUS, NE 68601-3161
Phone number: 402-564-2816
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Mailing Address
GREGORY D JACOBS PA-C
1454 28TH AVE
COLUMBUS, NE 68601-4944
Phone number: 903-297-1733
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