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Individual
PAMELA J JACOBS
Active
Individual
PAMELA J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D36044
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280001200
—
MD
Enumeration date
06/27/2006
Last updated
03/30/2011
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