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Individual
MR. JOSEPH MICHAEL IACOBUCCI
Active
Individual
MR. JOSEPH MICHAEL IACOBUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN294205
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN294205
GA
Other
Enumeration date
11/21/2022
Last updated
09/25/2024
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