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1508902586
CLARISSA LYNN JACOBSON
JOHNSTON, IA
NPI
1508902586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 01457)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- CLARISSA LYNN JACOBSON PT
8301 TALBOT PL
JOHNSTON, IA 50131-8761
Phone number: 515-278-2625
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Mailing Address
-- CLARISSA LYNN JACOBSON PT
6500 CORPORATE DRIVE
JOHNSTON, IA 50131-8761
Phone number: 515-270-9030
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