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1194325357
JACOB K. MCGINNIS
LA GRANDE, OR
NPI
1194325357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OR 202011200NP-PP)
Enumeration Date
2020-10-27
Last Update Date
2021-03-26
Business Address
Mr. JACOB K. MCGINNIS AGACNP-BC
900 SUNSET DR
LA GRANDE, OR 97850-1387
Phone number: 541-963-8421
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Mailing Address
Mr. JACOB K. MCGINNIS AGACNP-BC
PO BOX 3290
LA GRANDE, OR 97850-7290
Phone number: 540-963-1967
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