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1053132928
HENRY WILLIAM JACOBS
MADISON, WI
NPI
1053132928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-10-22
Last Update Date
2024-10-23
Business Address
Mr. HENRY WILLIAM JACOBS BS, BA, MSAT student
1475 ENGINEERING DR
MADISON, WI 53706-1607
Phone number: 608-264-8065
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Mailing Address
Mr. HENRY WILLIAM JACOBS BS, BA, MSAT student
5673 CHERYL DR
FITCHBURG, WI 53711-5371
Phone number:
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