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Individual
MRS. ANNIE L JACOBSON
Active
Individual
MRS. ANNIE L JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
0358
SD
133V00000X
Registered Dietitian
Primary
0358
SD
133V00000X
Registered Dietitian
1066
ND
133V00000X
Registered Dietitian
998682
—
Other
Enumeration date
01/29/2019
Last updated
12/06/2024
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