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Individual
JACOB GISE
Active
Individual
JACOB GISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143145
TX
Other
Enumeration date
09/21/2019
Last updated
10/27/2020
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