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1114190246
PETER JACOBSON
TACOMA, WA
NPI
1114190246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
Mr. PETER JACOBSON
610 YAKIMA AVE
TACOMA, WA 98405-4851
Phone number: 253-396-5230
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Mailing Address
Mr. PETER JACOBSON
3715 E I ST
TACOMA, WA 98404-3031
Phone number:
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