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1235725326
RENATTA JACOBS
LODI, NJ
NPI
1235725326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NY F309729)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
RENATTA JACOBS
114 SPRING ST
LODI, NJ 07644-3125
Phone number: 347-837-6360
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Mailing Address
RENATTA JACOBS
114 SPRING ST
LODI, NJ 07644-3125
Phone number: 347-837-6360
Copy
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