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Individual
DR. JACOB TARABOLOUS
Active
Individual
DR. JACOB TARABOLOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05-32930
KS
207L00000X
Anesthesiology Physician
0532950
KS
207L00000X
Anesthesiology Physician
2002018397
MO
Other
Enumeration date
10/07/2005
Last updated
01/30/2014
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