Individual
DEBRA JACOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4816 OAKLAND AVENUE S, MINNEAPOLIS, MN 55417-1024
(612) 432-9669
Mailing address
2512 WEST BROADWAY AVENUE N., MINNEAPOLIS, MN 55411
(612) 354-2629
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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