Individual
KASE ALLEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 SAINT OLAF AVE S, CANBY, MN 56220-1433
(507) 223-7277
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9955
MN
Other
Enumeration date
11/07/2022
Last updated
02/15/2024
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