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1972210920
JACOB CLARK HASKELL
LANSING, MI
NPI
1972210920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601011462APP22)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
JACOB CLARK HASKELL PA-C
1200 E MICHIGAN AVE STE 235
LANSING, MI 48912-1852
Phone number: 517-364-5858
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Mailing Address
JACOB CLARK HASKELL PA-C
1629 E MICHIGAN AVE APT 201
LANSING, MI 48912-2817
Phone number:
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