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Individual
DR. BRET CHARLES JACOBS
Active
Individual
DR. BRET CHARLES JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS 015988
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2011-00649
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
280667-1
NY
Other
Enumeration date
05/29/2008
Last updated
07/29/2024
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