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1013553643
ALICIA MAY JACOBSON
VANCOUVER, WA
NPI
1013553643
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Former Name
ALICIA JACOBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA 60837151)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
ALICIA MAY JACOBSON llpn
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8246
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Mailing Address
ALICIA MAY JACOBSON llpn
1010 W MCLOUGHLIN BLVD
VANCOUVER, WA 98660-2314
Phone number: 360-566-3254
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