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1689764581
MICHELLE JACOBS
BRONX, NY
NPI
1689764581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009957)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
MICHELLE JACOBS PA
MMC - DEPT. OF MEDICINE 1825 EASTCHESTER ROAD
BRONX, NY 10461
Phone number: 718-904-2400
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Mailing Address
MICHELLE JACOBS PA
14445 69TH RD
FLUSHING, NY 11367-1701
Phone number: 718-904-2400
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