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1760954325
MARK WILLIAM JACOBS
CHULA VISTA, CA
NPI
1760954325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT110158)
Enumeration Date
2018-12-20
Last Update Date
2022-07-25
Business Address
Mr. MARK WILLIAM JACOBS AMFT
835 3RD AVE
CHULA VISTA, CA 91911-1352
Phone number: 619-427-4661
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Mailing Address
Mr. MARK WILLIAM JACOBS AMFT
835 3RD AVE
CHULA VISTA, CA 91911-1352
Phone number: 619-427-4661
Copy
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