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1396068748
JACOBY LYNN ALLEN
REDMOND, OR
NPI
1396068748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA 20A11126)
Enumeration Date
2010-03-11
Last Update Date
2020-04-22
Business Address
JACOBY LYNN ALLEN D.O.
1253 NW CANAL BLVD
REDMOND, OR 97756-1334
Phone number: 541-548-8131
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Mailing Address
JACOBY LYNN ALLEN D.O.
155 N FRESNO ST
FRESNO, CA 93701-2302
Phone number: 559-499-6440
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