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Individual

JILL DUSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1815 W 13TH ST, BRANDYWINE MEDICAL ASSOCIATES, WILMINGTON, DE 19806-4054
(302) 652-4705
Mailing address
1815 W 13TH ST, BRANDYWINE MEDICAL ASSOCIATES, WILMINGTON, DE 19806-4054

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000761
DE

Other

Enumeration date
12/22/2009
Last updated
05/24/2021
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