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1902419104
JACOB JEWELL
SAINT CLAIR SHORES, MI
NPI
1902419104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704301664)
Enumeration Date
2020-08-26
Last Update Date
2020-09-22
Business Address
JACOB JEWELL FNP-C
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081-3203
Phone number: 586-771-4820
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Mailing Address
JACOB JEWELL FNP-C
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081-3203
Phone number: 586-771-4820
Copy
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