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Individual

DR. JACOB BURL JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1178 PROFESSIONAL DR, VAN WERT, OH 45891-2461
(419) 238-6251
(419) 238-1652
Mailing address
1178 PROFESSIONAL DR, VAN WERT, OH 45891-2461
(419) 238-6251
(419) 238-1652

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35085201
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2669349
OH
01
P00337825
RR MEDICARE
OH
Enumeration date
03/24/2006
Last updated
04/05/2021
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