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Individual

JACOB WILCOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DOM

Contact information

Practice address
1301 S SAINT FRANCIS DR STE C, SANTA FE, NM 87505-4042
(505) 210-2781
Mailing address
2 PERIWINKLE PL, SANTA FE, NM 87508-1389
(505) 210-2781
(585) 381-6188

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1143
NM
171100000X
Acupuncturist
2722
NY

Other

Enumeration date
03/02/2007
Last updated
10/16/2018
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