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1801375845
JAYCOB DANIEL EDWARDS
LINCOLN, NE
NPI
1801375845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NE 2264)
Enumeration Date
2018-08-10
Last Update Date
2022-04-15
Business Address
JAYCOB DANIEL EDWARDS PA
2211 S 38TH ST
LINCOLN, NE 68506-6024
Phone number: 402-326-3554
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Mailing Address
JAYCOB DANIEL EDWARDS PA
2211 S 38TH ST
LINCOLN, NE 68506-6024
Phone number: 402-326-3554
Copy
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