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Individual

MRS. CHERILYN A JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1400 37TH ST, EVANS, CO 80620-1906
(970) 348-1112
Mailing address
1400 37TH ST, EVANS, CO 80620-1906
(970) 348-1112

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3708
AZ
363A00000X
Physician Assistant
Primary
PA.0005795
CO

Other

Enumeration date
09/03/2008
Last updated
03/03/2026
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