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1093940173
JILL ANN SPACKMAN
FORT CAMPBELL, KY
NPI
1093940173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 1086080)
Enumeration Date
2009-05-19
Last Update Date
2018-06-20
Business Address
JILL ANN SPACKMAN PA
650 JOEL DR
FORT CAMPBELL, KY 42223
Phone number: 270-956-0336
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Mailing Address
JILL ANN SPACKMAN PA
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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