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1558814483
ALICE KELLEY JACOBSON
SOUTH PORTLAND, ME
NPI
1558814483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-07-27
Last Update Date
2019-11-15
Business Address
ALICE KELLEY JACOBSON PA-C
244 WESTERN AVE STE 100
SOUTH PORTLAND, ME 04106
Phone number: 207-775-3446
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Mailing Address
ALICE KELLEY JACOBSON PA-C
244 WESTERN AVE STE 100
SOUTH PORTLAND, ME 04106-2430
Phone number:
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