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1073058293
JACOB CORONADO
SPOKANE, WA
NPI
1073058293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2016-12-24
Last Update Date
2022-07-28
Business Address
JACOB CORONADO
1700 S ASSEMBLY RD STE 300
SPOKANE, WA 99224-2116
Phone number: 509-892-9241
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Mailing Address
JACOB CORONADO
1002 N SUPERIOR ST
SPOKANE, WA 99202-2059
Phone number: 509-892-9241
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