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1356747687
MICHELLE LAVERNE JACOBS
ROSEVILLE, CA
NPI
1356747687
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Former Name
MICHELLE LAVERNE MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95000824)
Enumeration Date
2014-11-13
Last Update Date
2022-09-21
Business Address
MICHELLE LAVERNE JACOBS NP
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661-3776
Phone number: 916-782-5511
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Mailing Address
MICHELLE LAVERNE JACOBS NP
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661-3776
Phone number: 916-612-3034
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