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Jacob Ornburn
NPI 1760191621 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4851 Goethe Ave
Saint Louis, MO 63116 - Phone
- (785) 764-6792
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri