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1710490545
JESSICA LYNN JACOBY
VANCOUVER, WA
NPI
1710490545
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Professional Name
JESSICA LYNN JACOBY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA 95003324)
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
JESSICA LYNN JACOBY PNP
2404 NE 187TH PL
VANCOUVER, WA 98684-6448
Phone number: 616-402-0020
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Mailing Address
JESSICA LYNN JACOBY PNP
2404 NE 187TH PL
VANCOUVER, WA 98684-6448
Phone number: 616-638-5690
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