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Organization
JOHN JACOBSON, LLC
Active
Organization
JOHN JACOBSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JACOBSON (OWNER)
(512) 337-2225
Entity
Organization
Contact information
Practice address
1603 RANCH ROAD 620 N, LAKEWAY, TX 78734-2693
(512) 337-2225
Mailing address
1603 RANCH ROAD 620 N, LAKEWAY, TX 78734-2693
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11451
TX
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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