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1992040265
JESSICA DOORNBOS
WILKES BARRE, PA
NPI
1992040265
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Former Name
JESSICA SEGESDI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA055887)
Enumeration Date
2012-11-28
Last Update Date
2015-04-06
Business Address
Mrs. JESSICA DOORNBOS PA-C
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-6026
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Mailing Address
Mrs. JESSICA DOORNBOS PA-C
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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