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1942785050
ANNA TERESE JACOBSEN
GALLUP, NM
NPI
1942785050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MN 377)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
Ms. ANNA TERESE JACOBSEN CNM
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Ms. ANNA TERESE JACOBSEN CNM
60 HAMILTON RD
GALLUP, NM 87301-7310
Phone number: 715-305-5424
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