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1316642598
JACOB WAYNE OSWALD
FORT MYERS, FL
NPI
1316642598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1205782)
Enumeration Date
2023-04-05
Last Update Date
2023-08-01
Business Address
JACOB WAYNE OSWALD PA-C
4790 BARKLEY CIR STE A
FORT MYERS, FL 33907-7593
Phone number: 239-275-8882
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Mailing Address
JACOB WAYNE OSWALD PA-C
9851 DECORUM DR APT 215
FORT MYERS, FL 33966-6565
Phone number:
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