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Individual

ELIZABETH MARIE JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
135 PINE TREE DR, BIGFORK, MN 56628-4346
(218) 743-3232
Mailing address
135 PINE TREE DR, BIGFORK, MN 56628-4346
(218) 743-3232

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10033
MN

Other

Enumeration date
08/01/2023
Last updated
08/02/2023
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