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1952086639
SCOTT DOMINICK JACOBS
NEW ORLEANS, LA
NPI
1952086639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 337148)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
SCOTT DOMINICK JACOBS
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5720
Phone number: 985-507-0273
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Mailing Address
SCOTT DOMINICK JACOBS
285 E MCCLELLAN ST
PONCHATOULA, LA 70454-2843
Phone number: 985-507-0273
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