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1427375542
TAMMIE JEAN JACOBS
MELROSE, NM
NPI
1427375542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 2385)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
Mrs. TAMMIE JEAN JACOBS COTA/L
3624 CR 12
MELROSE, NM 88124-9400
Phone number: 575-760-0978
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Mailing Address
Mrs. TAMMIE JEAN JACOBS COTA/L
PO BOX 570
MELROSE, NM 88124-0570
Phone number: 575-760-0978
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