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1427801471
SAMUEL COLE JACOBSON
STERLING HEIGHTS, MI
NPI
1427801471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MI z3wa3djz)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
SAMUEL COLE JACOBSON OTRL
43279 SCHOENHERR RD
STERLING HEIGHTS, MI 48313-1957
Phone number: 313-278-4601
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Mailing Address
SAMUEL COLE JACOBSON OTRL
6861 RICHMOND DR
TROY, MI 48098-1594
Phone number: 248-895-3797
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