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1821329715
JACOB WASSON
MINNEAPOLIS, MN
NPI
1821329715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 1368 (Temporary))
Enumeration Date
2010-01-18
Last Update Date
2020-01-14
Business Address
JACOB WASSON P.A.-C
410 CHURCH ST SE
MINNEAPOLIS, MN 55455-0222
Phone number: 612-625-3222
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Mailing Address
JACOB WASSON P.A.-C
410 CHURCH ST SE
MINNEAPOLIS, MN 55455-0222
Phone number: 612-625-3222
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