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Individual

FRANCINE JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12756 OLIVE BLVD, SAINT LOUIS, MO 63141
(314) 218-3321
(314) 218-3322
Mailing address
12756 OLIVE BLVD, SAINT LOUIS, MO 63141-6211
(314) 218-3321
(314) 218-3322

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2002017545
MO

Other

Enumeration date
11/22/2017
Last updated
03/25/2019
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