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1972640977
JAMES LELAND JACOB
SAINT PETERS, MO
NPI
1972640977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO to2230)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- JAMES LELAND JACOB o.d.
6664 MEXICO RD
SAINT PETERS, MO 63376-4131
Phone number: 636-970-2929
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Mailing Address
-- JAMES LELAND JACOB o.d.
181 SOUTHERN OAKS CT
SAINT CHARLES, MO 63303-4068
Phone number: 636-949-5004
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