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1174343180
JACOB LEASE
NEWBERG, OR
NPI
1174343180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
JACOB LEASE
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2521
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Mailing Address
JACOB LEASE
616 W SHERMAN ST
NEWBERG, OR 97132-2283
Phone number: 509-342-9341
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