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1720555055
JACOB PETERSON
EVERETT, WA
NPI
1720555055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: WA RN60205170)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
JACOB PETERSON
811 MADISON ST
EVERETT, WA 98203-4543
Phone number: 425-212-4200
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Mailing Address
JACOB PETERSON
PO BOX 2569
EVERETT, WA 98213-0569
Phone number:
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