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1659475655
JENNIFER R SUNDERLAND
DECATUR, IL
NPI
1659475655
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Professional Name
JENNIFER R WARE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085003210)
Enumeration Date
2006-09-11
Last Update Date
2023-02-06
Business Address
JENNIFER R SUNDERLAND PA-C
1750 E LAKE SHORE DR SUITE 110
DECATUR, IL 62521-3803
Phone number: 217-464-1200
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Mailing Address
JENNIFER R SUNDERLAND PA-C
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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