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Randolph Jacobs, M.D

NPI 1417975905 · on the registry since 2006 · sole proprietor

Practice

Address
23905 Clinton Keith Rd Ste 114
Wildomar, CA 92595
Phone
(951) 672-7673
Organisation at this address
Donahue Chiropractic, Inc
Mark A. Jury Optometric Professional Corporation
Diana Do-Yabut And Bryan Watanabe Dental Corporation
Mark A Jury, Od A Optometric Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
207N00000X
207N00000X
Also registered as
207NI0002X
207ND0900X
207ND0101X
207NP0225X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California