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Individual

JACOB YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
496 OLD ROUTE 66, SAINT ROBERT, MO 65584
(573) 246-6164
Mailing address
496 OLD ROUTE 66, ST ROBERT, MO 65584

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/16/2021
Last updated
06/16/2021
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