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1609249275
KANUKAYI JACOBSEN
VANCOUVER, WA
NPI
1609249275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
-- KANUKAYI JACOBSEN
11818 SE MILL PLAIN BLVD 213
VANCOUVER, WA 98684-5089
Phone number: 360-836-4386
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Mailing Address
-- KANUKAYI JACOBSEN
303 NE 16TH AVE APT 106
PORTLAND, OR 97232-3088
Phone number: 503-310-8581
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