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Individual
MR. JACOB A WOLFF
Active
Individual
MR. JACOB A WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC MHS
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
TA10005066
WA
363A00000X
Physician Assistant
Primary
PA10005066
WA
Other
Enumeration date
09/27/2006
Last updated
08/26/2020
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