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1245335660
JENNIFER M ILLIG
STATE COLLEGE, PA
NPI
1245335660
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Former Name
JENNIFER MARIE LONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA052572)
Enumeration Date
2006-09-13
Last Update Date
2018-12-19
Business Address
JENNIFER M ILLIG PAC
1850 E PARK AVE STE 201
STATE COLLEGE, PA 16803-6706
Phone number: 844-278-4600
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Mailing Address
JENNIFER M ILLIG PAC
1850 E PARK AVE STE 201
STATE COLLEGE, PA 16803-6706
Phone number: 844-278-4600
Copy
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