LISA A JACOBSON

FRUITA, CO
NPI1679231153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CO  14129560)
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
LISA A JACOBSON
300 W OTTLEY AVE
FRUITA, CO 81521-2118
Phone number: 970-858-2147
Mailing Address
LISA A JACOBSON
945 21 RD
FRUITA, CO 81521-9318
Phone number: 970-250-4432
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