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1255458717
ELLEN JACOBS
SANTA FE, NM
NPI
1255458717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 265)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Ms. ELLEN JACOBS OT
55 CAMERADA LOOP
SANTA FE, NM 87508-8232
Phone number: 505-466-2506
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Mailing Address
Ms. ELLEN JACOBS OT
55 CAMERADA LOOP
SANTA FE, NM 87508-8232
Phone number: 505-466-2506
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