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1306940044
JACK C WORTHINGTON
BEND, OR
NPI
1306940044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR md14700)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
-- JACK C WORTHINGTON
2500 NE NEFF RD
BEND, OR 97701
Phone number: 541-388-7750
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Mailing Address
-- JACK C WORTHINGTON
2500 NE NEFF
BEND, OR 97701
Phone number: 541-388-7750
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