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1922237379
JACOB A HASLEM
TUBA CITY, AZ
NPI
1922237379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ 7797)
Enumeration Date
2009-07-07
Last Update Date
2009-07-07
Business Address
-- JACOB A HASLEM DDS
167 N MAIN STREET
TUBA CITY, AZ 86045
Phone number: 801-318-7475
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Mailing Address
-- JACOB A HASLEM DDS
PO BOX 600
TUBA CITY, AZ 86045
Phone number: 801-318-7475
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