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1023334364
CHRISTINE JACOB
LAWRENCEVILLE, GA
NPI
1023334364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN126358)
Enumeration Date
2010-04-12
Last Update Date
2014-03-31
Business Address
-- CHRISTINE JACOB APRN
5710 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30043-7834
Phone number: 770-237-2222
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Mailing Address
-- CHRISTINE JACOB APRN
1095 WAKE ROBIN CIR SW
LILBURN, GA 30047-1881
Phone number: 770-856-9339
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