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NPI Profile for Dr JUDY L JACOBS in STERLING HEIGHTS, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1144594466 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 03/05/2012 | |
| Last updated | 06/07/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JUDY L JACOBS
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JUDY L JACOBS, PHD