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1114909371
JEREMY M LAKE
HILLSBORO, OR
NPI
1114909371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OR MD24736)
Enumeration Date
2005-11-15
Last Update Date
2008-01-09
Business Address
-- JEREMY M LAKE MD
232 SE 7TH AVE
HILLSBORO, OR 97123
Phone number: 503-640-1614
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Mailing Address
-- JEREMY M LAKE MD
232 SE 7TH AVE
HILLSBORO, OR 97123
Phone number: 503-640-1614
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