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1265730311
LORI JACOB
NICHOLASVILLE, KY
NPI
1265730311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 1083901)
Enumeration Date
2011-03-14
Last Update Date
2020-12-09
Business Address
LORI JACOB APRN
1024 N MAIN ST
NICHOLASVILLE, KY 40356-2311
Phone number: 859-241-2148
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Mailing Address
LORI JACOB APRN
2700 STANLEY GAULT PKWY SUITE 129
LOUISVILLE, KY 40223-5132
Phone number: 502-253-4914
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