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1083474159
JACOB DOUGLAS SMITH
SPOKANE, WA
NPI
1083474159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
JACOB DOUGLAS SMITH
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 406-459-3416
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Mailing Address
JACOB DOUGLAS SMITH
3815 HIAWATHA AVE UNIT 335
MINNEAPOLIS, MN 55406-4497
Phone number: 406-459-3416
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