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1962107847
STEPHANIE JACKOB
POUGHKEEPSIE, NY
NPI
1962107847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 311229)
Enumeration Date
2023-03-31
Last Update Date
2023-04-11
Business Address
STEPHANIE JACKOB AGPCNP-BC
488 FREEDOM PLAINS RD
POUGHKEEPSIE, NY 12603-2689
Phone number: 845-452-5151
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Mailing Address
STEPHANIE JACKOB AGPCNP-BC
15 LARCHMONT DR
HOPEWELL JUNCTION, NY 12533-5226
Phone number: 914-474-0248
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