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1184248841
JACOB ALEXANDER GROEN
IOWA CITY, IA
NPI
1184248841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: IA R-11870)
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
JACOB ALEXANDER GROEN DO
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-7222
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Mailing Address
JACOB ALEXANDER GROEN DO
15811 3RD AVE NE
SHORELINE, WA 98155-5718
Phone number: 206-947-6169
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