Individual
MRS. MARILYN J JANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 334-9933
(573) 334-9958
Mailing address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 334-9933
(573) 334-9958
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2005038792
MO
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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