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Individual
DR. JULIE LYNN JACOBS
Active
Individual
DR. JULIE LYNN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55110
CA
1223G0001X
General Practice Dentistry
D0018181
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614291
—
AZ
Enumeration date
04/04/2007
Last updated
02/26/2024
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