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Individual

JACOB A JEFFREYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
2994 B ST, SAN DIEGO, CA 92102-2212
(850) 218-3637
Mailing address
2994 B ST, SAN DIEGO, CA 92102-2212
(850) 218-3637

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
06/11/2018
Last updated
06/11/2018
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