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1104893502
CHRISTY JACOB
TROY, MI
NPI
1104893502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003502)
Enumeration Date
2006-03-03
Last Update Date
2022-10-10
Business Address
CHRISTY JACOB
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-5111
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Mailing Address
CHRISTY JACOB
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1860
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