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Individual

BRENDA A JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1235 LA PAZ ST, PENSACOLA, FL 32506-9709
(850) 458-1400
Mailing address
29 RIDGE DR, GERING, NE 69341-1522

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.006809
OH
207P00000X
Emergency Medicine Physician
Primary
OS8359
FL
207R00000X
Internal Medicine Physician
OS8359
FL

Other

Enumeration date
09/28/2006
Last updated
08/18/2022
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