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1891413308
JACOB HOLLAND
KELSO, WA
NPI
1891413308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP61294941)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
JACOB HOLLAND LPN
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-795-5008
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Mailing Address
JACOB HOLLAND LPN
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number:
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