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MR. JACOB BROWN

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1831616994

Individual Registrant:
MR. JACOB  BROWN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
630 DRAKE AVE  SAUSALITO, CA 94965-1107 US
Tel: 415-993-9444  Fax: --

Contact information for business:
630 DRAKE AVE  SAUSALITO, CA 94965-1107 US
Tel: 415-331-1220  Fax: --

Registration Information:
NPI: 1831616994
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CALIFORNIA DRIVERS LICENSEA0901989CA01




HEALTH CARE JOBS CA - Page 1



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