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1891116331
MARK CHARLES JAKUBISIN
CHARLOTTE, NC
NPI
1891116331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04704)
Enumeration Date
2013-12-31
Last Update Date
2024-07-25
Business Address
MARK CHARLES JAKUBISIN PA
1237 HARDING PL STE 4300
CHARLOTTE, NC 28204
Phone number: 704-373-0212
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Mailing Address
MARK CHARLES JAKUBISIN PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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