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1629898135
STACEY LYNNE JACOBS
SAINT JOSEPH, MI
NPI
1629898135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902021037)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
STACEY LYNNE JACOBS RDH
2525 S CLEVELAND AVE STE 1
SAINT JOSEPH, MI 49085-2649
Phone number: 269-429-1587
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Mailing Address
STACEY LYNNE JACOBS RDH
410 CHURCH ST APT A
SAINT JOSEPH, MI 49085-1217
Phone number: 810-689-0208
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