LIESL JADE JACOBS

MORAINE, OH
NPI1063611853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH  35.097603)
Enumeration Date2007-07-12
Last Update Date2015-05-07
Business Address
-- LIESL JADE JACOBS MD
5350 LAMME RD
MORAINE, OH 45439-3215
Phone number: 937-534-4651
Mailing Address
-- LIESL JADE JACOBS MD
1 PRESTIGE PL SUITE 550
MIAMISBURG, OH 45342-3794
Phone number: 937-752-2310
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