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Individual
GABRIEL JACOB
Active
Individual
GABRIEL JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125049581
IL
207W00000X
Ophthalmology Physician
Primary
A107534
CA
Other
Enumeration date
06/25/2008
Last updated
09/05/2019
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