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1821058553
JACOB B. GREEN
TEMPLE, TX
NPI
1821058553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX D2439)
Enumeration Date
2006-03-25
Last Update Date
2007-07-11
Business Address
Dr. JACOB B. GREEN M.D.
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
Dr. JACOB B. GREEN M.D.
PO BOX 847408
DALLAS, TX 75284-7408
Phone number: 254-724-2111
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