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Individual
JEFFREY SANCTORUM
Active
Individual
JEFFREY SANCTORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN60975551
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
209035637
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61562395
WA
Other
Enumeration date
07/27/2023
Last updated
09/23/2026
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