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Individual
DR. JACOB IRVING GREEN
Active
Individual
DR. JACOB IRVING GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5897
CA
213E00000X
Podiatrist
EL6961
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP219527
OR
Other
Enumeration date
06/09/2020
Last updated
06/24/2026
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