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1114969060
JACOB DANIEL CHANEY
TYLER, TX
NPI
1114969060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02875)
Enumeration Date
2006-06-12
Last Update Date
2019-04-08
Business Address
JACOB DANIEL CHANEY PA
1327 TROUP HWY
TYLER, TX 75701-4443
Phone number: 903-510-8840
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Mailing Address
JACOB DANIEL CHANEY PA
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6400
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