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1467075259
MIRASOL AME JACOBS
TIMONIUM, MD
NPI
1467075259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 27051)
Enumeration Date
2020-05-27
Last Update Date
2021-02-02
Business Address
MIRASOL AME JACOBS DPT
30 E PADONIA RD STE 104
TIMONIUM, MD 21093-2347
Phone number: 410-821-5151
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Mailing Address
MIRASOL AME JACOBS DPT
30 E PADONIA RD STE 104
TIMONIUM, MD 21093-2347
Phone number: 410-821-5151
Copy
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