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1518055151
THRESIAMMA JACOB
ADRIAN, MI
NPI
1518055151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI TJ048425)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- THRESIAMMA JACOB M.D.
142 E MAUMEE ST
ADRIAN, MI 49221-2735
Phone number: 517-263-5810
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Mailing Address
-- THRESIAMMA JACOB M.D.
2757 BYRNWYCK W
MAUMEE, OH 43537-9720
Phone number: 419-865-2523
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