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1477320117
JACOB JOHN THOMPSON
SALEM, OR
NPI
1477320117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 202004664RN)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
Mr. JACOB JOHN THOMPSON RN
3550 LIBERTY RD S STE 100
SALEM, OR 97302-5700
Phone number: 833-368-2696
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Mailing Address
Mr. JACOB JOHN THOMPSON RN
2533 MOON MOUNTAIN DR
EUGENE, OR 97403-2281
Phone number: 605-639-1811
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