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Wayne Jacobs NPI 1003455163

Classification
Physician Assistant
Type
Medical
Specialization
Medical
License No.
MA061359
License State
PA
Certified
Location

Additional Identifiers

Medical School
OTHER
Graduation Year
2019
Identifier
Type
State
Identifier: 103739681
Type: MEDICAID (05)
State: PA

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
435 RIVER AVE, WILLIAMSPORT, PA, 177013722
Business Phone
866-995-3937
Mailing Address
66 ENTERPRISE BLVD, ALLENWOOD, PA, 178109260
Mailing Phone
570-538-6002
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