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Individual
JACOB COEUR
Active
Individual
JACOB COEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74335
TN
207R00000X
Internal Medicine Physician
DR.0077858
CO
208000000X
Pediatrics Physician
74335
TN
208M00000X
Hospitalist Physician
Primary
DR.0077858
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2022
Last updated
09/01/2026
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