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1437564606
JACOB FARMER
VANCOUVER, WA
NPI
1437564606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60475801)
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
-- JACOB FARMER
811 NE 112TH AVE SUITE 100
VANCOUVER, WA 98684-5115
Phone number: 360-604-7151
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Mailing Address
-- JACOB FARMER
14305 NE 94TH ST
VANCOUVER, WA 98682-3083
Phone number: 360-909-2700
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