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Individual

KIRSTEN JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAOM

Contact information

Practice address
1955 W GRANT RD STE 150, TUCSON, AZ 85745-1474
(520) 500-0535
Mailing address
1955 W GRANT RD STE 150, TUCSON, AZ 85745-1474
(520) 500-0535

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000709
VA
171100000X
Acupuncturist
Primary
10068
AZ
171100000X
Acupuncturist
U02096
MD
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
005861
AZ
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
0117002413
VA

Other

Enumeration date
09/06/2013
Last updated
08/16/2021
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