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1710522313
MICHAEL JACOBS
FUQUAY VARINA, NC
NPI
1710522313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5012389)
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
MICHAEL JACOBS FNP-BC
609 ATTAIN ST STE 101
FUQUAY VARINA, NC 27526-1984
Phone number: 919-567-0684
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Mailing Address
MICHAEL JACOBS FNP-BC
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303-5451
Phone number:
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