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1144704677
JENNIFER LYNN VANDERPOOL
MILWAUKEE, WI
NPI
1144704677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 4471)
Enumeration Date
2018-09-20
Last Update Date
2018-11-21
Business Address
JENNIFER LYNN VANDERPOOL PA
2301 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 630-310-1099
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Mailing Address
JENNIFER LYNN VANDERPOOL PA
142 S HARTWELL AVE
WAUKESHA, WI 53186-6401
Phone number:
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