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1558030023
KELLY M JACOBS
TAMPA, FL
NPI
1558030023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL BACB698654)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
KELLY M JACOBS RBT
8001 BEATY GROVE DR
TAMPA, FL 33626-1602
Phone number: 813-926-5454
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Mailing Address
KELLY M JACOBS RBT
4073 MACEACHEN BLVD APT 50
SARASOTA, FL 34233-1142
Phone number: 941-400-2313
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