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1831218817
JACOB EDWARD ROBERTS
LIVONIA, MI
NPI
1831218817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MI 5101015635)
Enumeration Date
2007-03-28
Last Update Date
2009-10-01
Business Address
-- JACOB EDWARD ROBERTS D.O
14555 LEVAN RD MARION PROFESSIONAL BUILDING SUITE 311
LIVONIA, MI 48154-5083
Phone number: 734-655-2692
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Mailing Address
-- JACOB EDWARD ROBERTS D.O
7932 GOSHEN DR
WEST BLOOMFIELD, MI 48322-5002
Phone number: 248-417-7730
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