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1962645424
REBA WILLIAMS JACOBS
DOLAN SPRING, AZ
NPI
1962645424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2009-04-14
Last Update Date
2009-09-20
Business Address
-- REBA WILLIAMS JACOBS
17160 N.MAGNOLIA DR.
DOLAN SPRING, AZ 86441
Phone number: 928-767-3855
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Mailing Address
-- REBA WILLIAMS JACOBS
P.O.BOX 203 15893 N.EDGEMONT DR.
DOLAN SPRINGS, AZ 86441
Phone number: 928-671-0709
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