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1770286544
JACOB ALDEN LEBSACK
MINNEAPOLIS, MN
NPI
1770286544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN 6631031)
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
JACOB ALDEN LEBSACK
2637 27TH AVE S # 248
MINNEAPOLIS, MN 55406-1565
Phone number: 612-208-8382
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Mailing Address
JACOB ALDEN LEBSACK
2637 27TH AVE S # 248
MINNEAPOLIS, MN 55406-1565
Phone number:
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