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1811584451
MARYLOU JACOBO
PHOENIX, AZ
NPI
1811584451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ 1000026769)
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
MARYLOU JACOBO CNA
10401 N CAVE CREEK RD LOT 306
PHOENIX, AZ 85020-1601
Phone number: 623-258-7712
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Mailing Address
MARYLOU JACOBO CNA
10401 N CAVE CREEK RD LOT 306
PHOENIX, AZ 85020-1601
Phone number: 623-258-7712
Copy
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