Individual
DEBORAH JACOBI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8960 SPRINGBROOK DR NW, SUITE 150, COON RAPIDS, MN 55433-5852
(763) 784-7570
Mailing address
8960 SPRINGBROOK DR NW, SUITE 150, COON RAPIDS, MN 55433-5852
(763) 784-7570
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5706
MN
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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