LAURA ANN JACOB

CHAMPAIGN, IL
NPI1144427857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.004493)
Enumeration Date2007-06-27
Last Update Date2020-11-06
Business Address
LAURA ANN JACOB R.D.
1801 W WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-8144
Mailing Address
LAURA ANN JACOB R.D.
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-8130
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