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Individual
DR. SANDY JACOB
Active
Individual
DR. SANDY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01065086A
IN
207Q00000X
Family Medicine Physician
249505
NY
207Q00000X
Family Medicine Physician
4301097539
MI
207Q00000X
Family Medicine Physician
Primary
N3752
TX
Other
Enumeration date
04/18/2008
Last updated
05/16/2019
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