JACOB JAY DAWSON

WAUSAU, WI
NPI1720638166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  324142)
Enumeration Date2019-09-17
Last Update Date2019-09-17
Business Address
JACOB JAY DAWSON LPN
5120 STETTIN DR
WAUSAU, WI 54401-3824
Phone number: 715-551-6827
Mailing Address
JACOB JAY DAWSON LPN
115 S 6TH AVE
WAUSAU, WI 54401-4516
Phone number: 715-401-1840
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