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1275880429
JACOB LOUIS MUCKERMAN
CAPE GIRARDEAU, MO
NPI
1275880429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2012027450)
Enumeration Date
2012-08-07
Last Update Date
2024-06-05
Business Address
JACOB LOUIS MUCKERMAN FNP BC
1723 BROADWAY ST SUITE 410
CAPE GIRARDEAU, MO 63701-4566
Phone number: 573-339-1957
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Mailing Address
JACOB LOUIS MUCKERMAN FNP BC
1723 BROADWAY ST SUITE 410
CAPE GIRARDEAU, MO 63701-4566
Phone number: 573-339-1957
Copy
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