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1154975001
JACOB MCAVOY
SPRINGFIELD, OR
NPI
1154975001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-07-30
Last Update Date
2024-08-01
Business Address
JACOB MCAVOY DMSc, PA-C
1077 GATEWAY LOOP
SPRINGFIELD, OR 97477-1114
Phone number: 541-485-6478
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Mailing Address
JACOB MCAVOY DMSc, PA-C
671 SW MAIN ST
WINSTON, OR 97496-6571
Phone number: 541-492-4550
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