ADAM JACOBSEN

OMAHA, NE
NPI1720220809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
225000000X Orthotic Fitter
Enumeration Date2009-04-03
Last Update Date2009-04-03
Business Address
-- ADAM JACOBSEN CPO
4101 WOOLWORTH AVE ROOM 7505
OMAHA, NE 68105-1850
Phone number: 402-995-3656
Mailing Address
-- ADAM JACOBSEN CPO
4101 WOOLWORTH AVE ROOM 7505
OMAHA, NE 68105-1850
Phone number: 402-995-3656
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