BENNIE JACOBS

WOODBURY, MN
NPI1730920356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: MN  1104163)
Enumeration Date2024-06-06
Last Update Date2024-06-06
Business Address
BENNIE JACOBS
1671 CENTURY CIR APT 124
WOODBURY, MN 55125-2116
Phone number: 612-220-8036
Mailing Address
BENNIE JACOBS
1671 CENTURY CIR APT 124
WOODBURY, MN 55125-2116
Phone number: 612-220-8036
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