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1851978233
JACOB ROBERT LONGFELLOW
PORTLAND, ME
NPI
1851978233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
Dr. JACOB ROBERT LONGFELLOW DO
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0111
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Mailing Address
Dr. JACOB ROBERT LONGFELLOW DO
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number:
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