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1073889416
MAVIS JACOBS
ELMHURST, NY
NPI
1073889416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 528003-1)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- MAVIS JACOBS R.N.
8055 CORNISH AVE
ELMHURST, NY 11373-3728
Phone number: 718-899-6258
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Mailing Address
-- MAVIS JACOBS R.N.
18811 SUFFOLK DR
SAINT ALBANS, NY 11412-3008
Phone number: 646-523-3801
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