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Ivory Jacobs

Student in an Organized Health Care Education/Training Program in Flint, MI. Individual provider (NPI-1).

NPI number1801246830
StatusActive
Last updated in NPPESJul 18, 2016

Details

NPI
1801246830
Entity type
Individual (NPI-1)
Name
Ivory Jacobs
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2016
Last updated
Jul 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

304 W Tobias St
Flint, MI 48503-3975

Phone 810-233-4093

Mailing address

304 W Tobias St
Flint, MI 48503-3975

Phone 810-233-4093

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