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Individual

SANDRA A JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10515 W SANTA FE DR, SUN CITY, AZ 85351-3020
(623) 875-6500
Mailing address
PO BOX 53568, PHOENIX, AZ 85072-3568
(623) 544-5075

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD11353
RI

Other

Enumeration date
01/08/2006
Last updated
10/06/2008
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