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1962187344
JACOB MICHAEL ALLAN
ORANGE CITY, FL
NPI
1962187344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC6258)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
Dr. JACOB MICHAEL ALLAN OD
1039 HARLEY STRICKLAND BLVD STE 100
ORANGE CITY, FL 32763-7979
Phone number: 386-457-6198
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Mailing Address
Dr. JACOB MICHAEL ALLAN OD
1870 FORTUNE CT
DELTONA, FL 32725-3260
Phone number: 407-756-4210
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