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1154530103
ELIZABETH D JACOBS
FAIRBANKS, AK
NPI
1154530103
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Other Name
BETSEY JACOBS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AK 155)
Enumeration Date
2007-05-22
Last Update Date
2008-05-05
Business Address
-- ELIZABETH D JACOBS MA CCCSLP
600 UNIVERSITY AVE STE. 110
FAIRBANKS, AK 99709-3643
Phone number: 907-451-1067
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Mailing Address
-- ELIZABETH D JACOBS MA CCCSLP
2025 GREEN LEAF RD
FAIRBANKS, AK 99725-6273
Phone number: 907-451-1067
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