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1902208309
JACOB D SILLAMAN
KETTERING, OH
NPI
1902208309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: OH 50004125)
Enumeration Date
2014-09-17
Last Update Date
2020-11-23
Business Address
JACOB D SILLAMAN PA
1380 E STROOP RD
KETTERING, OH 45429-4926
Phone number: 937-294-4356
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Mailing Address
JACOB D SILLAMAN PA
1380 E STROOP RD
KETTERING, OH 45429-4926
Phone number: 937-293-3486
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