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1285676239
JACK MATHEWS
WESTERVILLE, OH
NPI
1285676239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35-04-3725)
Enumeration Date
2006-06-12
Last Update Date
2007-12-05
Business Address
-- JACK MATHEWS
555 W SCHROCK RD A
WESTERVILLE, OH 43081-8702
Phone number: 614-891-0005
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Mailing Address
-- JACK MATHEWS
PO BOX 951603
CLEVELAND, OH 44193-0018
Phone number:
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