DAVID JACOBUS

ONTARIO, OR
NPI1174071153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2016-09-19
Last Update Date2016-09-19
Business Address
-- DAVID JACOBUS
686 NW 9TH ST
ONTARIO, OR 97914-1600
Phone number: 541-889-9167
Mailing Address
-- DAVID JACOBUS
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number:
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