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1194424499
COLLEEN JACOBS
FORT WORTH, TX
NPI
1194424499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-27
Last Update Date
2024-03-28
Business Address
COLLEEN JACOBS DO
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-922-4535
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Mailing Address
COLLEEN JACOBS DO
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107-2644
Phone number:
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