Individual
CONNIE SUE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
606 S 9TH ST, KIOWA, KS 67070-1911
(620) 825-4228
Mailing address
606 S 9TH ST, KIOWA, KS 67070-1911
(620) 825-4228
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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