BRANT JACOBSON

SAPULPA, OK
NPI1851982441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies374K00000X Religious Nonmedical Practitioner
Enumeration Date2021-01-27
Last Update Date2023-07-27
Business Address
BRANT JACOBSON
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 830-998-3547
Mailing Address
BRANT JACOBSON
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 830-998-3547
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