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1164160990
JACK RYAN DOTSON
KENNEWICK, WA
NPI
1164160990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OL61294039)
Enumeration Date
2022-05-23
Last Update Date
2022-06-13
Business Address
JACK RYAN DOTSON DO
127 S UNION ST
KENNEWICK, WA 99336-2251
Phone number: 208-305-2301
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Mailing Address
JACK RYAN DOTSON DO
127 S UNION ST
KENNEWICK, WA 99336-2251
Phone number:
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