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Individual

MRS. KAREN JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, CSCS

Contact information

Practice address
23 WENNINGTON DR, POUGHKEEPSIE, NY 12603-3841
(845) 485-8899
Mailing address
23 WENNINGTON DR, POUGHKEEPSIE, NY 12603-3841
(845) 485-8899

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000013-1
NY

Other

Enumeration date
10/15/2006
Last updated
07/08/2007
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