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1700553054
JACOB WEBER
DES MOINES, IA
NPI
1700553054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA t21089)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
JACOB WEBER
1409 CLARK ST
DES MOINES, IA 50314-1916
Phone number: 515-643-6500
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Mailing Address
JACOB WEBER
1409 CLARK ST
DES MOINES, IA 50314-1916
Phone number: 515-643-6500
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