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Individual

TAMARA JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8800
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
(701) 234-8800

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
59153
ND
207V00000X
Obstetrics & Gynecology Physician
7642
KS

Other

Enumeration date
06/14/2011
Last updated
04/04/2022
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