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1700336310
JACOB KIERBS
CARTERVILLE, IL
NPI
1700336310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.113482)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- JACOB KIERBS
1216 HUMMINGBIRD CT
CARTERVILLE, IL 62918-1648
Phone number: 217-855-1760
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Mailing Address
-- JACOB KIERBS
1216 HUMMINGBIRD CT
CARTERVILLE, IL 62918-1648
Phone number: 217-855-1760
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