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1447986575
JACOB JODAT
WAUWATOSA, WI
NPI
1447986575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-29
Last Update Date
2022-07-29
Business Address
JACOB JODAT PA-C
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226-2315
Phone number: 414-877-5350
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Mailing Address
JACOB JODAT PA-C
854 DELAWARE AVE APT C
GRAFTON, WI 53024-9479
Phone number: 262-951-1750
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