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1386724367
KEITH ROBERT JEROME
SEATTLE, WA
NPI
1386724367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: WA MD00036076)
Enumeration Date
2006-10-16
Last Update Date
2013-02-20
Business Address
KEITH ROBERT JEROME
AMBULATORY CLINIC 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Phone number: 206-288-1000
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Mailing Address
KEITH ROBERT JEROME
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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