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1205397270
JACK S MO
SEATTLE, WA
NPI
1205397270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61312934)
Enumeration Date
2019-03-30
Last Update Date
2022-07-11
Business Address
JACK S MO MD
314 NE THORNTON PL
SEATTLE, WA 98125-9000
Phone number: 206-520-5000
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Mailing Address
JACK S MO MD
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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