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Individual

MARGARET ROSE JACOBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8003 N PORT WASHINGTON RD, FOX POINT, WI 53217-2647
(414) 228-6444
(414) 228-7005
Mailing address
3610 MICHELLE WITMER MEMORIAL DR, SUITE 110, NEW BERLIN, WI 53151-5292
(262) 821-1588
(262) 821-6644

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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