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Individual
MRS. PEGGY JO JACOBS
Active
Individual
MRS. PEGGY JO JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, CNM, DNP, APN
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.002481
IL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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