JACOB J GOTHAM

OGDENSBURG, NY
NPI1982383295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
JACOB J GOTHAM
1003 PARK ST
OGDENSBURG, NY 13669-3911
Phone number: 315-713-9090
Mailing Address
JACOB J GOTHAM
1003 PARK ST
OGDENSBURG, NY 13669-3911
Phone number: 315-713-9090
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