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Debra Jacobs

NPI 1578783684 · on the registry since 2007

Practice

Address
312 Se 5th Street
Wilburton, OK 74578
Phone
(918) 465-3911

Registry record

Primary taxonomy
373H00000X
373H00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma