JARED VICTOR JAY WHETSTONE

SPRINGFIELD, IL
NPI1891123519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.004860)
Enumeration Date2013-10-15
Last Update Date2020-05-19
Business Address
JARED VICTOR JAY WHETSTONE PA-C
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
Mailing Address
JARED VICTOR JAY WHETSTONE PA-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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