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1740923556
RYAN CLINTON JACOBS
LOUISVILLE, KY
NPI
1740923556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS T-5268)
Enumeration Date
2022-04-19
Last Update Date
2024-07-16
Business Address
RYAN CLINTON JACOBS MD
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-240-8912
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Mailing Address
RYAN CLINTON JACOBS MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 502-240-8912
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