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1194258418
KENNETH LEON MICHAEL JACOBS
TALLAHASSEE, FL
NPI
1194258418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT13350)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- KENNETH LEON MICHAEL JACOBS PT
132 SALEM CT
TALLAHASSEE, FL 32301-2810
Phone number: 850-877-8177
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Mailing Address
-- KENNETH LEON MICHAEL JACOBS PT
3076 BELL GROVE DR
TALLAHASSEE, FL 32308-9700
Phone number: 850-386-2715
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