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1528332871
BROOKE L JACOB
NEWARK, DE
NPI
1528332871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: DE DN-0000379)
Enumeration Date
2012-03-05
Last Update Date
2016-11-03
Business Address
-- BROOKE L JACOB RD
4735 OGLETOWN STANTON ROAD SUITE 3201
NEWARK, DE 19713
Phone number: 302-623-4323
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Mailing Address
-- BROOKE L JACOB RD
P.O. BOX 30170
WILMINGTON, DE 19805-7170
Phone number: 302-623-7113
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