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Individual

DOLORES JACOBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
233 EVERGREEN ST, LUFKIN, TX 75904-7698
(936) 671-0788
Mailing address
233 EVERGREEN ST, LUFKIN, TX 75904-7698

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329915
TX

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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