J. JACK CHAN

ATHENS, OH
NPI1053314245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: OH  34005890)
Enumeration Date2005-05-23
Last Update Date2009-05-19
Business Address
-- J. JACK CHAN D.O.
86 COLUMBUS RD STE 203
ATHENS, OH 45701-1331
Phone number: 740-594-2624
Mailing Address
-- J. JACK CHAN D.O.
86 COLUMBUS RD SUITE 203
ATHENS, OH 45701-1300
Phone number: 740-594-2624
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