ALICE M JACOBSON

CHEYENNE, WY
NPI1952949240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PT852)
Enumeration Date2019-12-17
Last Update Date2019-12-17
Business Address
ALICE M JACOBSON PA-C
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-634-2273
Mailing Address
ALICE M JACOBSON PA-C
306 E 18TH ST APT 2
CHEYENNE, WY 82001-4663
Phone number:
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