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1295033884
LAISE MADELEINE MORAN-JACOBSON
GRASS VALLEY, CA
NPI
1295033884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 190340)
Enumeration Date
2011-03-04
Last Update Date
2011-03-04
Business Address
-- LAISE MADELEINE MORAN-JACOBSON RN
500 CROWN POINT CIR # 120
GRASS VALLEY, CA 95945-9514
Phone number: 530-265-1437
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Mailing Address
-- LAISE MADELEINE MORAN-JACOBSON RN
17069 VINTAGE DR 500 CROWN POINT CIRCLE #120
GRASS VALLEY, CA 95949-8798
Phone number: 530-268-7367
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