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1760232144
JACOB JEFFREY RIDDLE
SAN ANTONIO, TX
NPI
1760232144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-26
Last Update Date
2024-06-25
Business Address
JACOB JEFFREY RIDDLE DPM
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-567-5174
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Mailing Address
JACOB JEFFREY RIDDLE DPM
9538 MULBERRY PATH
SAN ANTONIO, TX 78251-4358
Phone number: 623-500-1227
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