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1447817127
JACK WAYLAND DAVIS
TRIPLER ARMY MEDICAL CENTER, HI
NPI
1447817127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: HI 1447817127)
Enumeration Date
2019-05-29
Last Update Date
2022-06-14
Business Address
JACK WAYLAND DAVIS
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Phone number: 530-333-3770
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Mailing Address
JACK WAYLAND DAVIS
2996 ANDERSON AVE
HONOLULU, HI 96818-6220
Phone number: 530-333-3770
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