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1619222890
JACOB D CRISP
SPOKANE, WA
NPI
1619222890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH 60167773)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
-- JACOB D CRISP PHARMD
120 N PINE ST SUITE 156
SPOKANE, WA 99202-5029
Phone number: 509-343-3400
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Mailing Address
-- JACOB D CRISP PHARMD
3510 S LORETTA DR
SPOKANE VALLEY, WA 99206-5974
Phone number: 509-496-6093
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