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1316766637
THOMAS BALCOM
DALLAS, OR
NPI
1316766637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 10033401)
Enumeration Date
2024-10-03
Last Update Date
2024-10-03
Business Address
THOMAS BALCOM NP-C
531 SE CLAY ST
DALLAS, OR 97338-2865
Phone number: 971-612-6100
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Mailing Address
THOMAS BALCOM NP-C
531 SE CLAY ST
DALLAS, OR 97338-2865
Phone number: 971-612-6100
Copy
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