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1134400385
JASON ORRIN DAVIS
GREEN BAY, WI
NPI
1134400385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3057-023)
Enumeration Date
2011-09-01
Last Update Date
2014-11-24
Business Address
Mr. JASON ORRIN DAVIS PA-C
2021 S WEBSTER AVE
GREEN BAY, WI 54301-2257
Phone number: 920-965-0345
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Mailing Address
Mr. JASON ORRIN DAVIS PA-C
5982 MARIBEL RD
DENMARK, WI 54208-8901
Phone number: 401-480-1993
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