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1235193756
MARY ANN JACOBS
SAINT LOUIS, MO
NPI
1235193756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 047282)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
Mrs. MARY ANN JACOBS
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125-4181
Phone number: 314-894-5727
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Mailing Address
Mrs. MARY ANN JACOBS
514 FORDER RD
SAINT LOUIS, MO 63129-2624
Phone number:
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