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Individual

MISS VERNEST L JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
203 LOOKOUT 948, CATLIN, IL 61817
(217) 427-5365
Mailing address
PO 948, 203 LOOKOUT, CATLIN, IL 61817
(217) 427-5365

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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