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Individual
THOMAS LARUE JACOBS
Active
Individual
THOMAS LARUE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201707769NP-PP
OR
363LF0000X
Family Nurse Practitioner
153353
AK
363LF0000X
Family Nurse Practitioner
201707769NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60785555
WA
Other
Enumeration date
08/14/2017
Last updated
02/17/2020
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