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1255110755
JACOB BARELA
NEW YORK, NY
NPI
1255110755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 405196)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
Mr. JACOB BARELA
440 W 34TH ST APT 6C
NEW YORK, NY 10001-2304
Phone number: 208-308-9129
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Mailing Address
Mr. JACOB BARELA
440 W 34TH ST APT 6C
NEW YORK, NY 10001-2304
Phone number: 208-308-9129
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