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1881136927
JISHA JACOB
TACOMA, WA
NPI
1881136927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 57661)
Enumeration Date
2016-11-07
Last Update Date
2023-01-06
Business Address
JISHA JACOB
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-4101
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Mailing Address
JISHA JACOB
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-4101
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