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1912915059
JACK J MASTER
ANN ARBOR, MI
NPI
1912915059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004461)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- JACK J MASTER PA
1500 EAST MEDICAL CENTER DR 2ND FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48108
Phone number: 734-936-5851
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Mailing Address
-- JACK J MASTER PA
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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