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Individual

JACOB DESALVO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2132 CITY GATE LN APT 163, NAPERVILLE, IL 60563-3720
(630) 297-6219
Mailing address
2132 CITY GATE LN APT 163, NAPERVILLE, IL 60563-3720
(630) 297-6219

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.304843
IL

Other

Enumeration date
03/11/2025
Last updated
03/11/2025
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