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1265177000
JACOB MATHESON
YAKIMA, WA
NPI
1265177000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA OL61336882)
Enumeration Date
2022-05-04
Last Update Date
2023-08-29
Business Address
JACOB MATHESON DO
1806 W LINCOLN AVE
YAKIMA, WA 98902-2473
Phone number: 509-452-4520
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Mailing Address
JACOB MATHESON DO
501 S 5TH AVE
YAKIMA, WA 98902-3550
Phone number: 509-853-1082
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