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1780003442
JACOB ALEXANDER
DULCE, NM
NPI
1780003442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: CO DR.0057889)
Enumeration Date
2014-04-09
Last Update Date
2021-04-01
Business Address
JACOB ALEXANDER DO, MPH
500 N. MUNDO
DULCE, NM 87528
Phone number: 575-759-3291
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Mailing Address
JACOB ALEXANDER DO, MPH
PO BOX 187
DULCE, NM 87528-0187
Phone number: 575-759-3291
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