Individual
DR. NANCY L. JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1201 N STONEWALL AVE, ROOM 494, OKLAHOMA CITY, OK 73117-1214
(405) 271-4034
Mailing address
PO BOX 528802-8802, OKLAHOMA CITY, OK 73152-8802
(405) 271-4034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4976
OK
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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