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1336512813
JENCY JACOB
PLAINVILLE, CT
NPI
1336512813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CT 006301)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
Mrs. JENCY JACOB NP-C
184 EAST ST
PLAINVILLE, CT 06062-2913
Phone number: 860-224-6200
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Mailing Address
Mrs. JENCY JACOB NP-C
1487 FARMINGTON AVE APT 21
FARMINGTON, CT 06032-1047
Phone number: 347-420-1754
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