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ALICIA MAY JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLPN

Contact information

Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
Mailing address
1010 W MCLOUGHLIN BLVD, VANCOUVER, WA 98660-2314
(360) 566-3254

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60837151
WA

Other

Enumeration date
11/19/2019
Last updated
11/19/2019
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