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Eyas
Eyas
Jacob
Medical doctor
Manchester, United States
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Florida Health Care Practitioner Data Portal
Full name
Eyas Jacob
Job Title
Medical Doctor
Location
Manchester, NH, USA
LIC ID
164922
Current License Expiration Date
31/01/2025
Original Date
22/11/2022
Professional Rank Code
ME
Effective Date
22/11/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
Apt 513
Practice Location Address Line 1
180 Woodbury Street
Practice Location Address Line 2
Apt 513
Practice Location Address City
MANCHESTER
Practice Location Address State
NH
Practice Location Address Zipcode
03102
Prescribing Indicator
N
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