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1821591678
JUSTIN DAVID JACOBS
TEMPLE, TX
NPI
1821591678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX V2111)
Enumeration Date
2018-03-16
Last Update Date
2024-08-27
Business Address
JUSTIN DAVID JACOBS
1605 S 31ST ST
TEMPLE, TX 76508-3983
Phone number: 254-215-0100
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Mailing Address
JUSTIN DAVID JACOBS
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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