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1013590694
JACOB BART
DETROIT, MI
NPI
1013590694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-03
Last Update Date
2023-04-11
Business Address
JACOB BART
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1601
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Mailing Address
JACOB BART
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number:
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