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Individual

DEBORAH LEE JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9331 S COLORADO BLVD, SUITE 200, HIGHLANDS RANCH, CO 80126-7467
(303) 471-4711
(303) 471-4767
Mailing address
9331 S COLORADO BLVD, SUITE 200, HIGHLANDS RANCH, CO 80126-7467
(303) 471-4711
(303) 471-4767

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39161
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DR.0039161
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
296620YL5B
MEDICARE ID EPN
CO
05
36724050
CO
Enumeration date
09/15/2006
Last updated
08/18/2014
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