JACOB GREGORY HUSEMAN

EAST CHICAGO, IN
NPI1699318899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71009696A)
Enumeration Date2019-10-21
Last Update Date2020-12-07
Business Address
Mr. JACOB GREGORY HUSEMAN
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-703-1764
Mailing Address
Mr. JACOB GREGORY HUSEMAN
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-331-9169
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