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1821191164
STEVE ALTON JACOBS
SHREVEPORT, LA
NPI
1821191164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN035529)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
Mr. STEVE ALTON JACOBS C.R.N.A.
510 EAST STONER AVE.
SHREVEPORT, LA 71101-4295
Phone number: 318-221-8411
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Mailing Address
Mr. STEVE ALTON JACOBS C.R.N.A.
5523 LAKE SIDE DR
BOSSIER CITY, LA 71111-5548
Phone number: 318-746-4254
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