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MR. JACOB LOVELESS

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

Registrant NPI Number: 1407219207

Individual Registrant:
MR. JACOB  LOVELESS 
Gender: M
Sole Proprietor

Location and contact information for practice:
8216 M.5 RD  GLADSTONE, MI 49837-9078 US
Tel: 906-399-9928  Fax: --

Contact information for business:
8216 M.5 RD  GLADSTONE, MI 49837-9078 US
Tel: --  Fax: --

Registration Information:
NPI: 1407219207
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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