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1114176039
GREG JACOBS
LIMA, OH
NPI
1114176039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 892563)
Enumeration Date
2008-09-16
Last Update Date
2009-05-13
Business Address
-- GREG JACOBS LICDC
530 S MAIN ST
LIMA, OH 45804-1240
Phone number: 419-222-1168
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Mailing Address
-- GREG JACOBS LICDC
530 S MAIN ST
LIMA, OH 45804-1240
Phone number: 419-222-1168
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