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1154511525
COLLEEN DAWN JACOBS
SCOTTSBLUFF, NE
NPI
1154511525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE p-545)
Enumeration Date
2007-07-31
Last Update Date
2007-07-31
Business Address
-- COLLEEN DAWN JACOBS PLADC
4110 AVENUE D
SCOTTSBLUFF, NE 69361-4650
Phone number: 308-635-3171
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Mailing Address
-- COLLEEN DAWN JACOBS PLADC
4110 AVENUE D
SCOTTSBLUFF, NE 69361-4650
Phone number: 308-635-3171
Copy
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