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Individual

CHERYL R JACOBS

Active
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Individual

CHERYL R JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00035079
WA
207R00000X
Internal Medicine Physician
Primary
MD35079
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1200JA
REGENCE
WA
01
214488
LABOR & INDUSTRY
WA
01
5891740001
DME
WA
05
8244931
WA
01
P00385271
PALMETTO RR MEDICARE
WA
Enumeration date
09/20/2006
Last updated
03/26/2026
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