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Gordon Jacobs
NPI 1912255613 · on the registry since 2012 · sole proprietor
Practice
- Address
- 202 1/2 Bridge St
Apt 6
Grand Ledge, MI 48837 - Phone
- (989) 745-3552
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2012-08-28
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 Michigan