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1972055754
KELSEY JACOBO
GRANTS PASS, OR
NPI
1972055754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-27
Last Update Date
2019-09-25
Business Address
KELSEY JACOBO
320 SW RAMSEY AVE
GRANTS PASS, OR 97527-5529
Phone number: 541-476-2373
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Mailing Address
KELSEY JACOBO
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number:
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