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Individual

CHRISTINE LYNN JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
19731 E PIKES PEAK CT, STE 201, PARKER, CO 80138-7401
(303) 913-8686
Mailing address
19731 E PIKES PEAK CT, STE 201, PARKER, CO 80138-7401
(303) 913-8686

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-11066
CO

Other

Enumeration date
10/19/2010
Last updated
07/18/2011
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