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1518503788
TAMARA JACOB
MIAMI GARDENS, FL
NPI
1518503788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL4831)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
TAMARA JACOB
15800 NW 42ND AVE
MIAMI GARDENS, FL 33054-6155
Phone number: 305-626-3690
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Mailing Address
TAMARA JACOB
7580 NW 21ST CT
MARGATE, FL 33063-7952
Phone number:
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