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1063127967
RANDI JACOBS
HAZARD, KY
NPI
1063127967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3018860)
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
RANDI JACOBS APRN
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701-2620
Phone number: 606-436-0711
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Mailing Address
RANDI JACOBS APRN
PO BOX 959
HAZARD, KY 41702-0959
Phone number: 606-436-0711
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