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1356626865
JENNIFER TALLIS
NEWARK, DE
NPI
1356626865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: DE C5-0000790)
Enumeration Date
2011-10-15
Last Update Date
2011-10-15
Business Address
-- JENNIFER TALLIS PA-C
4755 OGLETOWN STANTON RD
NEWARK, DE 19718-0001
Phone number: 302-733-1000
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Mailing Address
-- JENNIFER TALLIS PA-C
1834 LOVERING AVE APT 2
WILMINGTON, DE 19806-2122
Phone number: 845-642-0050
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