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Edmund Jacobs, LMP
NPI 1528368438 · on the registry since 2010
Practice
- Address
- 31706 40th Ave S
Roy, WA 98580 - Phone
- (206) 369-0297
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington