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Individual

MRS. CATHERINE MARY JACOBSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ATC.

Contact information

Practice address
201 VIKING DR, PLEASANT HILL, CA 94523-1809
(510) 331-7912
(925) 676-7897
Mailing address
26901 PATRICK AVE, HAYWARD, CA 94544-3806
(510) 331-7912
(925) 676-7897

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/20/2006
Last updated
07/08/2007
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