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1558522664
JACOB J. DEMELLE
GREEN BAY, WI
NPI
1558522664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2269)
Enumeration Date
2008-06-20
Last Update Date
2022-10-11
Business Address
JACOB J. DEMELLE PA-C
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
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Mailing Address
JACOB J. DEMELLE PA-C
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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