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1174296941
AMANDA JACOBSEN
DECATUR, IL
NPI
1174296941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.008421)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
AMANDA JACOBSEN PA-C
320 E CENTRAL AVE
DECATUR, IL 62521-4665
Phone number: 217-877-9117
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Mailing Address
AMANDA JACOBSEN PA-C
1307 JACKSON WOODS CT NW
CEDAR RAPIDS, IA 52405-1920
Phone number: 319-521-3537
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