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1003455163
WAYNE R JACOBS
WILLIAMSPORT, PA
NPI
1003455163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA061359)
Enumeration Date
2020-01-06
Last Update Date
2021-01-07
Business Address
WAYNE R JACOBS
435 RIVER AVE
WILLIAMSPORT, PA 17701-3722
Phone number: 866-995-3937
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Mailing Address
WAYNE R JACOBS
66 ENTERPRISE BLVD
ALLENWOOD, PA 17810-9260
Phone number: 570-538-6002
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