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1861965816
MICHAEL JACOB
SOUTH BEND, IN
NPI
1861965816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
MICHAEL JACOB
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
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Mailing Address
MICHAEL JACOB
330 LAKEVIEW DR
GOSHEN, IN 46528-7000
Phone number: 574-533-1234
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