JESSE ENNIS

HOMER, AK
NPI1063810844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AK  115396)
Enumeration Date2014-12-10
Last Update Date2016-11-30
Business Address
-- JESSE ENNIS PA-C
4201 BARTLETT ST
HOMER, AK 99603-7015
Phone number: 907-235-7000
Mailing Address
-- JESSE ENNIS PA-C
4201 BARTLETT ST
HOMER, AK 99603-7015
Phone number:
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