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Individual
DR. JACOB SELLON
Active
Individual
DR. JACOB SELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
51267
MN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
51267
MN
208D00000X
General Practice Physician
0101236805
VA
Other
Enumeration date
09/26/2005
Last updated
01/15/2021
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