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JARED VANDERPOHL PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1619546561

Individual Registrant:
 JARED  VANDERPOHL PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10489 N FLORIDA AVE  CITRUS SPRINGS, FL 34434-3268 US
Tel: 352-489-2486  Fax: --

Contact information for business:
1595 W SPRING MEADOW LOOP  LECANTO, FL 34461-7681 US
Tel: 513-658-0018  Fax: --

Registration Information:
NPI: 1619546561
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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