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1265869549
JISNA JACOB
RICHMOND, VA
NPI
1265869549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204288)
Enumeration Date
2013-10-02
Last Update Date
2022-02-18
Business Address
JISNA JACOB
7015 CARNATION ST APT# 214
RICHMOND, VA 23225-5294
Phone number: 804-272-1927
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Mailing Address
JISNA JACOB
7015 CARNATION ST APT# 214
RICHMOND, VA 23225-5294
Phone number:
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