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1598548075
JACOB R GISBY
LONGVIEW, WA
NPI
1598548075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: WA NC61043068)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
JACOB R GISBY
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
JACOB R GISBY
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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