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1518648609
SHANNON L JAKUBAS
RICHLAND, MI
NPI
1518648609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601011942)
Enumeration Date
2023-07-31
Last Update Date
2023-10-31
Business Address
SHANNON L JAKUBAS PA-C
8906 M 89
RICHLAND, MI 49083-9540
Phone number: 269-286-7130
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Mailing Address
SHANNON L JAKUBAS PA-C
601 JOHN STREET BOX 42
KALAMAZOO, MI 49007
Phone number:
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