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1003557059
JACOB ALEXANDER BETHEL
MADISON, WI
NPI
1003557059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-05-07
Business Address
JACOB ALEXANDER BETHEL MD
749 UNIVERSITY ROW STE 200
MADISON, WI 53705-1465
Phone number: 608-263-6400
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Mailing Address
JACOB ALEXANDER BETHEL MD
749 UNIVERSITY ROW STE 200
MADISON, WI 53705-1465
Phone number: 608-263-6400
Copy
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