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Individual

JASON JARED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-1290
Mailing address
801 N 4TH ST, LE CLAIRE, IA 52753-9654

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17019-40
WI
183500000X
Pharmacist
21944
IA

Other

Enumeration date
08/07/2014
Last updated
08/07/2014
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