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1679809933
KELLI A. JACOB
BOSSIER CITY, LA
NPI
1679809933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP05911)
Enumeration Date
2009-10-21
Last Update Date
2009-10-27
Business Address
-- KELLI A. JACOB NP
2300 HOSPITAL DR SUITE 360
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7902
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Mailing Address
-- KELLI A. JACOB NP
2300 HOSPITAL DR SUITE 360
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7902
Copy
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