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1245891571
MICHAEL RALPH JACOBS
ANCHORAGE, AK
NPI
1245891571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
MICHAEL RALPH JACOBS
2825 W 42ND AVE
ANCHORAGE, AK 99517-2830
Phone number: 907-243-5130
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Mailing Address
MICHAEL RALPH JACOBS
2825 W 42ND AVE
ANCHORAGE, AK 99517-2830
Phone number:
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