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1710570601
ANNIE JACOB
PHOENIX, AZ
NPI
1710570601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 250873)
Enumeration Date
2021-02-11
Last Update Date
2021-02-11
Business Address
ANNIE JACOB DNP
3033 N CENTRAL AVE
PHOENIX, AZ 85012-2809
Phone number: 602-230-7373
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Mailing Address
ANNIE JACOB DNP
3620 N 3RD ST # 550
PHOENIX, AZ 85012-2020
Phone number: 602-230-7373
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