Individual
JACOB KABOORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5002 STANLEY PARK PL APT 102, FITCHBURG, WI 53711-9325
(608) 719-9038
Mailing address
5002 STANLEY PARK PL APT 102, FITCHBURG, WI 53711-9325
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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