JEDIDIAH ANDREW JACOBSON

ORANGE, CA
NPI1770099814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: CA  CPO03265)
Additional Taxonomies224P00000X Prosthetist
(Licence: CA  CPO03265)
Enumeration Date2017-12-27
Last Update Date2018-03-17
Business Address
JEDIDIAH ANDREW JACOBSON CPO
2140 W CHAPMAN AVE STE 103
ORANGE, CA 92868-2331
Phone number: 714-602-6436
Mailing Address
JEDIDIAH ANDREW JACOBSON CPO
2140 W CHAPMAN AVE STE 103
ORANGE, CA 92868-2331
Phone number: 714-602-6436
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