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1508522236
KELLY JO JACOBS
FORT WAYNE, IN
NPI
1508522236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011070A)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
KELLY JO JACOBS DPT
415 E COOK RD STE 600
FORT WAYNE, IN 46825-3657
Phone number: 260-226-7329
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Mailing Address
KELLY JO JACOBS DPT
415 E COOK RD STE 600
FORT WAYNE, IN 46825-3657
Phone number: 260-226-7329
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