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1174678429
JONATHAN D JAHNKE
NEWBERG, OR
NPI
1174678429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR MD14241)
Additional Taxonomies
332H00000X Eyewear Supplier
Enumeration Date
2007-01-25
Last Update Date
2017-03-01
Business Address
JONATHAN D JAHNKE M.D.
307 E HANCOCK ST
NEWBERG, OR 97132-2825
Phone number: 503-538-2020
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Mailing Address
JONATHAN D JAHNKE M.D.
307 E HANCOCK ST
NEWBERG, OR 97132-2825
Phone number: 503-538-2020
Copy
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