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1881906188
SUSAN DIANE JACOBSON
EUGENE, OR
NPI
1881906188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 080011725LPN)
Enumeration Date
2010-07-02
Last Update Date
2010-07-02
Business Address
-- SUSAN DIANE JACOBSON LPN
1860 COBURG RD
EUGENE, OR 97401-4945
Phone number: 541-465-3966
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Mailing Address
-- SUSAN DIANE JACOBSON LPN
363 HIGH ST
EUGENE, OR 97401-2309
Phone number: 541-465-3966
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