RAYNARD MICHAEL JACOBS

FAIRBANKS, AK
NPI1508180811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-03-16
Last Update Date2010-03-16
Business Address
RAYNARD MICHAEL JACOBS
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
Mailing Address
RAYNARD MICHAEL JACOBS
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
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