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1316408362
JACOB JORDAN UNDERWOOD
SPOKANE, WA
NPI
1316408362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-30
Last Update Date
2019-03-30
Business Address
-- JACOB JORDAN UNDERWOOD DO
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3020
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Mailing Address
-- JACOB JORDAN UNDERWOOD DO
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3020
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