CORI JEAN JACOBSON

PIERRE, SD
NPI1760814263
Former NameCORI JEAN CARROLL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: SD  124Q00000X)
Enumeration Date2013-08-07
Last Update Date2013-08-07
Business Address
-- CORI JEAN JACOBSON RDH
804 N EUCLID AVE
PIERRE, SD 57501-1719
Phone number: 605-224-7345
Mailing Address
-- CORI JEAN JACOBSON RDH
804 N EUCLID AVE
PIERRE, SD 57501-1719
Phone number: 605-224-7345