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1417776196
JACOB GRISHAM
NEWBURGH, IN
NPI
1417776196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71015844A)
Enumeration Date
2024-10-09
Last Update Date
2024-10-09
Business Address
JACOB GRISHAM FNP
3800 VENETIAN WAY
NEWBURGH, IN 47630-8257
Phone number: 812-477-6103
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Mailing Address
JACOB GRISHAM FNP
3800 VENETIAN WAY
NEWBURGH, IN 47630-8257
Phone number: 812-477-6103
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