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Individual

TAMARA JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15800 NW 42ND AVE, MIAMI GARDENS, FL 33054-6155
(305) 626-3690
Mailing address
7580 NW 21ST CT, MARGATE, FL 33063-7952

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4831
FL

Other

Enumeration date
11/22/2019
Last updated
11/22/2019
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