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Individual

JACOB STOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21655 BIDEN AVE, GEORGETOWN, DE 19947-4573
(302) 207-9176
Mailing address
21655 BIDEN AVE, GEORGETOWN, DE 19947-4573
(302) 207-9176

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C1-0026929
DE
390200000X
Student in an Organized Health Care Education/Training Program
35973
OK

Other

Enumeration date
07/24/2020
Last updated
07/10/2024
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