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Organization
GEORGE I JACOB CHIROPRACTIC, INC
Active
Organization
GEORGE I JACOB CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ISAAC JACOB D.C. (PRESIDENT)
(209) 595-5711
Entity
Organization
Contact information
Practice address
3516 OAKDALE RD, SUITE C, MODESTO, CA 95357-0727
(209) 595-5711
Mailing address
PO BOX 578700, MODESTO, CA 95357-8700
(209) 595-5711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4532436
—
CA
01
—
DC27611
STATE LICENSE
CA
Enumeration date
05/10/2007
Last updated
01/26/2010
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