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1003228537
CHARLEEN JACOBS
BRONX, NY
NPI
1003228537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F306841)
Enumeration Date
2014-06-02
Last Update Date
2014-06-02
Business Address
Ms. CHARLEEN JACOBS NP
3444 KOSSUTH AVE MMG FAMILY CARE CENTER
BRONX, NY 10467-2410
Phone number: 718-920-2273
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Mailing Address
Ms. CHARLEEN JACOBS NP
1 FISHER DR APT 202
MOUNT VERNON, NY 10552-3635
Phone number: 914-774-9210
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