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1447202189
CASEY JACOBS
SCRANTON, PA
NPI
1447202189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN636253)
Enumeration Date
2006-05-17
Last Update Date
2015-03-20
Business Address
-- CASEY JACOBS CRNA
746 JEFFERSON AVE
SCRANTON, PA 18510-1624
Phone number: 570-348-7100
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Mailing Address
-- CASEY JACOBS CRNA
3998 FAIR RIDGE DR STE 300
FAIRFAX, VA 22033-2907
Phone number: 703-295-9360
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