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1922700400
JACOB HENRY MARTIN
ORANGE PARK, FL
NPI
1922700400
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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
2023-03-20
Last Update Date
2023-03-20
Business Address
JACOB HENRY MARTIN DO
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073-5148
Phone number: 904-639-8500
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Mailing Address
JACOB HENRY MARTIN DO
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2005
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