JACOB E MEFFORD

PEORIA, IL
NPI1689923013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004403)
Enumeration Date2012-08-30
Last Update Date2013-01-30
Business Address
-- JACOB E MEFFORD PA
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-672-5522
Mailing Address
-- JACOB E MEFFORD PA
DEPT 960347
OKLAHOMA CITY, OK 73196-0347
Phone number: 800-684-0062
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