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Individual

JACOB PAUL MERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1405 E ELMS RD, KILLEEN, TX 76542-2810
(254) 519-4700
Mailing address
1400 RIVERY BLVD APT 2101, GEORGETOWN, TX 78628-3031
(412) 491-7552

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35095
TX

Other

Enumeration date
05/30/2019
Last updated
05/30/2019
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