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1255628178
JACOB BYRON PLUID
KINGMAN, AZ
NPI
1255628178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 006338)
Enumeration Date
2011-06-29
Last Update Date
2015-06-29
Business Address
-- JACOB BYRON PLUID D.O.
3269 STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-0649
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Mailing Address
-- JACOB BYRON PLUID D.O.
900 RAWHIDE DR
KINGMAN, AZ 86401-7238
Phone number: 435-881-3607
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