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1558996694
MICHAEL A JACOBS
BRICK, NJ
NPI
1558996694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
MICHAEL A JACOBS
711 MARYS DR
BRICK, NJ 08723-4213
Phone number: 732-670-2393
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Mailing Address
MICHAEL A JACOBS
711 MARYS DR
BRICK, NJ 08723-4213
Phone number: 732-670-2393
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