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1083901847
JESSICA JACOBS
STATEN ISLAND, NY
NPI
1083901847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 05520611)
Enumeration Date
2011-06-30
Last Update Date
2011-06-30
Business Address
-- JESSICA JACOBS
3155 AMBOY RD
STATEN ISLAND, NY 10306-2799
Phone number: 718-313-1407
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Mailing Address
-- JESSICA JACOBS
3155 AMBOY RD
STATEN ISLAND, NY 10306-2799
Phone number: 718-313-1407
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