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1487264271
JOSHUA LANE JACOBS
EVERETT, WA
NPI
1487264271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61099172)
Enumeration Date
2020-08-05
Last Update Date
2020-08-31
Business Address
JOSHUA LANE JACOBS BS
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
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Mailing Address
JOSHUA LANE JACOBS BS
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
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