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1427163906
JAN JACK GOUDA
DAYTON, OH
NPI
1427163906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: OH 35-072594)
Enumeration Date
2006-08-21
Last Update Date
2012-06-27
Business Address
Dr. JAN JACK GOUDA M.D.
1 ELIZABETH PL SUITE # D
DAYTON, OH 45417-3445
Phone number: 937-424-2520
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Mailing Address
Dr. JAN JACK GOUDA M.D.
1 ELIZABETH PL SUITE # D
DAYTON, OH 45417-3445
Phone number: 937-424-2520
Copy
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