BRENT A JACOBUS

CROWN POINT, IN
NPI1902807589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001090)
Enumeration Date2005-08-09
Last Update Date2011-11-01
Business Address
-- BRENT A JACOBUS D.O.
9150 E 109TH AVE STE 2A CROWN POINT
CROWN POINT, IN 46307-7686
Phone number: 219-226-1529
Mailing Address
-- BRENT A JACOBUS D.O.
9150 E 109TH AVE STE 2A CROWN POINT
CROWN POINT, IN 46307-7686
Phone number: 219-226-1529
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