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1447476775
KEN R JACOBS
FLAGSTAFF, AZ
NPI
1447476775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 1131)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Mr. KEN R JACOBS PT,MA
3285 E SPARROW AVE
FLAGSTAFF, AZ 86004-7794
Phone number: 928-627-6163
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Mailing Address
Mr. KEN R JACOBS PT,MA
18719 N BASE CAMP RD HART PRAIRIE
FLAGSTAFF, AZ 86001-9377
Phone number:
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