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1801880414
MARY E JACOBS
MARION, IN
NPI
1801880414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000359A)
Enumeration Date
2005-09-09
Last Update Date
2007-07-08
Business Address
Ms. MARY E JACOBS ATC, LAT
4201 S WASHINGTON ST
MARION, IN 46953-4974
Phone number: 765-677-1675
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Mailing Address
Ms. MARY E JACOBS ATC, LAT
1715 W OVERLOOK RD
MARION, IN 46952-1120
Phone number: 765-677-1675
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