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1740570977
JAMES RANDALL JACOBS
OMAHA, NE
NPI
1740570977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NE 22050)
Enumeration Date
2011-04-08
Last Update Date
2011-04-08
Business Address
Mr. JAMES RANDALL JACOBS LPN
4101 WOOLWORTH AVE
OMAHA, NE 68105-1850
Phone number: 402-346-8800
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Mailing Address
Mr. JAMES RANDALL JACOBS LPN
13023 CROWN POINT AVE
OMAHA, NE 68164-1367
Phone number: 402-212-0245
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