JAYNE K FEDOR

SPRINGFIELD, IL
NPI1376538124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085001270)
Enumeration Date2005-09-19
Last Update Date2007-07-08
Business Address
-- JAYNE K FEDOR P.A.C.
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-0173
Mailing Address
-- JAYNE K FEDOR P.A.C.
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7578
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