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1821445768
JACOB SIEGBERG
TIGARD, OR
NPI
1821445768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201330195LPN)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
-- JACOB SIEGBERG LPN
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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Mailing Address
-- JACOB SIEGBERG LPN
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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