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Individual

DR. KRISTIN LIFFICK JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
15600 NE 8TH SUITE Q2, C/O PARIS MIKI OPTICAL, BELLEVUE, WA 98008
(425) 641-7482
(425) 641-5802
Mailing address
15600 NE 8TH ST STE Q2, BELLEVUE, WA 98008-3956
(425) 641-7482
(425) 641-5802

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00003683
WA

Other

Enumeration date
10/04/2006
Last updated
08/23/2007
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