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1679108179
COURTNEY NICOLE JACOBS
ELK GROVE, CA
NPI
1679108179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-03-05
Last Update Date
2020-03-05
Business Address
COURTNEY NICOLE JACOBS
6023 STEADMAN PL
ELK GROVE, CA 95758-6231
Phone number: 916-753-9555
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Mailing Address
COURTNEY NICOLE JACOBS
6023 STEADMAN PL
ELK GROVE, CA 95758-6231
Phone number: 916-753-9555
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