MRS. Chantal Jackqueline Cobb

NPI #1083804462 in Jacksonville, Florida

Provider Information

NPI Number: 1083804462
Entity Type: Individual
Name: MRS. Chantal Jackqueline Cobb
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jul 31, 2007
Last Updated: Jul 31, 2007

Practice Location

Address: 5816 DICKSON RD
City: Jacksonville
State: Florida
ZIP Code: 32211-4600
Phone: (904) 993-7048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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