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1023370699
JESSICA SORENSEN
CHAMPAIGN, IL
NPI
1023370699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085004312)
Enumeration Date
2012-06-11
Last Update Date
2022-01-05
Business Address
JESSICA SORENSEN PA
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1228
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Mailing Address
JESSICA SORENSEN PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1200
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