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Individual
WESLEY JACOBS
Active
Individual
WESLEY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
20266
SC
Other
Enumeration date
06/20/2016
Last updated
03/04/2022
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