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1831300672
RYAN PAUL JACOBSON
VANCOUVER, WA
NPI
1831300672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008202)
Enumeration Date
2007-05-24
Last Update Date
2007-07-09
Business Address
-- RYAN PAUL JACOBSON PT
6511 NE 18TH ST
VANCOUVER, WA 98661-6869
Phone number: 360-759-4917
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Mailing Address
-- RYAN PAUL JACOBSON PT
1331 SW CARSON ST
PORTLAND, OR 97219-4332
Phone number: 503-336-1721
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