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Individual
DR. RONI MARIE JACOBSEN
Active
Individual
DR. RONI MARIE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70805
AZ
207RA0002X
Adult Congenital Heart Disease Physician
Primary
DR.0058703
CO
208000000X
Pediatrics Physician
57002
WI
2080P0202X
Pediatric Cardiology Physician
DR.0058703
CO
Other
Enumeration date
06/18/2008
Last updated
10/06/2020
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