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1871147819
JAMIE LEA JACOBS
CARMI, IL
NPI
1871147819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209020413)
Enumeration Date
2019-07-29
Last Update Date
2019-11-15
Business Address
JAMIE LEA JACOBS FNP-C
1112 OAK ST
CARMI, IL 62821
Phone number: 618-382-5030
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Mailing Address
JAMIE LEA JACOBS FNP-C
611 S MARSHALL AVE
MC LEANSBORO, IL 62859-1213
Phone number: 618-643-2361
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