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1134571755
MIGUEL JACOME
TACOMA, WA
NPI
1134571755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
Mr. MIGUEL JACOME EFDA Assistant
N DIVISION ST BLDG 2103
TACOMA, WA 98431-0001
Phone number: 253-966-7814
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Mailing Address
Mr. MIGUEL JACOME EFDA Assistant
19710 13TH AVENUE CT E
SPANAWAY, WA 98387-8046
Phone number: 208-818-6238
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