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1740409986
WAYNE STEVEN JACOBSON
LISLE, IL
NPI
1740409986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 19015131)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Dr. WAYNE STEVEN JACOBSON DDS
1440 MAPLE AVE 3A
LISLE, IL 60532-4134
Phone number: 630-963-9280
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Mailing Address
Dr. WAYNE STEVEN JACOBSON DDS
1440 MAPLE AVE 3A
LISLE, IL 60532-4134
Phone number: 630-963-9280
Copy
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