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1720462666
JACLYN M ELIASSEN
SPOKANE, WA
NPI
1720462666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60575246)
Enumeration Date
2015-07-09
Last Update Date
2015-07-09
Business Address
Dr. JACLYN M ELIASSEN DDS
5011 W LOWELL AVE SUITE 130
SPOKANE, WA 99208-8587
Phone number: 509-464-3100
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Mailing Address
Dr. JACLYN M ELIASSEN DDS
5011 W LOWELL AVE SUITE 130
SPOKANE, WA 99208-8587
Phone number: 509-464-3100
Copy
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