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1801336524
DIANA MARY JACOB
DALLAS, TX
NPI
1801336524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11109)
Enumeration Date
2017-02-28
Last Update Date
2019-11-25
Business Address
Ms. DIANA MARY JACOB PA-C
129 W 9TH ST
DALLAS, TX 75208-4416
Phone number: 214-941-0032
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Mailing Address
Ms. DIANA MARY JACOB PA-C
129 W 9TH ST
DALLAS, TX 75208-4416
Phone number: 214-941-0032
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