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Individual

DR. JENNIFER JACOBSON TURCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1357 2ND AVE, CUMBERLAND, WI 54829-7211
(715) 822-2091
(715) 822-3624
Mailing address
PO BOX 250, CUMBERLAND, WI 54829-0250
(715) 822-2091
(715) 822-3624

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI-2594
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38593200
WI
01
410028306
RR-PTAN 410028306
WI
01
410040876
RR-PTAN 410040876
WI
Enumeration date
08/01/2005
Last updated
12/14/2009
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