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Individual

MR. NATHANAEL NICHOLAS JACOBSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
11 N 5TH AVE W, MELROSE, MN 56352-1071
(320) 256-4231
(320) 256-4949
Mailing address
215 S 4TH AVE E, MELROSE, MN 56352-1343
(320) 256-5234

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6563
MN

Other

Enumeration date
01/30/2006
Last updated
07/08/2007
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