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1295188159
JACOB LACKOW
NEW YORK, NY
NPI
1295188159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-07-15
Last Update Date
2019-05-22
Business Address
Mr. JACOB LACKOW M.A.
101 E 56TH ST
NEW YORK, NY 10022-2661
Phone number: 646-625-4300
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Mailing Address
Mr. JACOB LACKOW M.A.
101 E 56TH ST
NEW YORK, NY 10022-2661
Phone number: 646-625-4300
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