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1316627813
JACOB MARK EBNER
NEWARK, DE
NPI
1316627813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: DE C5-0012175)
Enumeration Date
2023-07-19
Last Update Date
2024-11-29
Business Address
JACOB MARK EBNER PA-C
4755 OGLETOWN STANTON RD STE 1070
NEWARK, DE 19718-2200
Phone number: 302-733-1663
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Mailing Address
JACOB MARK EBNER PA-C
107 CEDAR RD
PITTSGROVE, NJ 08318-3830
Phone number: 856-275-5492
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