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1114367844
TANISHA JACOBS
BROOKLYN, NY
NPI
1114367844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 281812)
Enumeration Date
2013-06-26
Last Update Date
2013-06-26
Business Address
-- TANISHA JACOBS LPN
295 FLATBUSH AVENUE EXT
BROOKLYN, NY 11201-3001
Phone number: 718-522-1144
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Mailing Address
-- TANISHA JACOBS LPN
1483 LINCOLN PL APT 15
BROOKLYN, NY 11213-4150
Phone number: 347-898-4562
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