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Individual

JACOB R PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
200 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160
Mailing address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(414) 358-5431

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
163723
WI

Other

Enumeration date
06/11/2013
Last updated
08/23/2022
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