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Individual
JACOB S PUGSLEY
Active
Individual
JACOB S PUGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
243378
MA
207L00000X
Anesthesiology Physician
Primary
7946266-1205
UT
207R00000X
Internal Medicine Physician
ML20008516
WA
Other
Enumeration date
08/20/2006
Last updated
10/27/2011
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