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Individual

MR. JACOB FORCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BT

Contact information

Practice address
11037 WARNER AVE, #339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627
Mailing address
11037 WARNER AVE, #339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
01/06/2017
Last updated
01/06/2017
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