ANGELICA ANNA JACOB

SALEM, OR
NPI1477104081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201905084LPN)
Enumeration Date2019-09-25
Last Update Date2019-09-25
Business Address
ANGELICA ANNA JACOB
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
Mailing Address
ANGELICA ANNA JACOB
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
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