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1821739798
SERA ANN JACOB
SPOKANE, WA
NPI
1821739798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
SERA ANN JACOB DO
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-626-9951
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Mailing Address
SERA ANN JACOB DO
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number:
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