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1922507599
ELISSA MICHELLE JACOBS
PORT ARTHUR, TX
NPI
1922507599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 830760)
Enumeration Date
2018-02-08
Last Update Date
2018-02-08
Business Address
ELISSA MICHELLE JACOBS
8035 MEMORIAL BLVD
PORT ARTHUR, TX 77640-7002
Phone number: 409-344-9307
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Mailing Address
ELISSA MICHELLE JACOBS
1845 LINNS WAY
BEAUMONT, TX 77706-3149
Phone number: 409-423-0233
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