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1104298447
JENESSA JACOBSEN
RUSSELLVILLE, AR
NPI
1104298447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-27
Last Update Date
2023-12-28
Business Address
JENESSA JACOBSEN Recovery Assistant
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
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Mailing Address
JENESSA JACOBSEN Recovery Assistant
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
Copy
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