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1851946453
JACOB SOOTER
MONCKS CORNER, SC
NPI
1851946453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-08-09
Last Update Date
2021-03-01
Business Address
JACOB SOOTER
2061 HIGHWAY 52
MONCKS CORNER, SC 29461-5017
Phone number: 316-208-4591
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Mailing Address
JACOB SOOTER
2061 HIGHWAY 52
MONCKS CORNER, SC 29461-5017
Phone number: 843-761-8800
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