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1972118032
STEPHANIE SUSAN JACOB
AUSTIN, TX
NPI
1972118032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 61497)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
STEPHANIE SUSAN JACOB PharmD
2213 AIRPORT BLVD
AUSTIN, TX 78722-1404
Phone number: 512-993-3994
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Mailing Address
STEPHANIE SUSAN JACOB PharmD
7233 MENCHACA RD UNIT 2
AUSTIN, TX 78745-5292
Phone number: 214-707-0440
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