JACOB THOMAS BROWNBACK

KANSAS CITY, KS
NPI1154757078
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2012021520)
Enumeration Date2013-09-24
Last Update Date2013-09-24
Business Address
-- JACOB THOMAS BROWNBACK
4628 LAFAYETTE AVE
KANSAS CITY, KS 66104
Phone number: 913-302-9317
Mailing Address
-- JACOB THOMAS BROWNBACK
4628 LAFAYETTE AVE
KANSAS CITY, KS 66104-3335
Phone number: 913-302-9317