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Individual

JACOB MARQUETTE

Active
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Individual

JACOB MARQUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15073
CA
207Q00000X
Family Medicine Physician
DR.0060772
CO
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
15073
CA

Other

Enumeration date
05/21/2015
Last updated
04/28/2025
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