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Individual
LAITH J JACOB
Active
Individual
LAITH J JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBCHB
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301109743
MI
Other
Enumeration date
06/21/2016
Last updated
06/02/2025
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