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1407081912
JACOB MORNINGSIDE
OLYMPIA, WA
NPI
1407081912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00003203)
Enumeration Date
2009-05-28
Last Update Date
2009-05-28
Business Address
-- JACOB MORNINGSIDE
1624 11TH AVE SW
OLYMPIA, WA 98502-5829
Phone number: 360-943-5715
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Mailing Address
-- JACOB MORNINGSIDE
1624 11TH AVE SW
OLYMPIA, WA 98502-5829
Phone number: 360-943-5715
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