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1477518389
R JACK EASTHAM
CHARLOTTESVILLE, VA
NPI
1477518389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: VA 0101020554)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
-- R JACK EASTHAM MD
1000 EAST HIGH STREET SUITE A
CHARLOTTESVILLE, VA 22902-4848
Phone number: 434-817-2300
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Mailing Address
-- R JACK EASTHAM MD
1000 EAST HIGH STREET SUITE A
CHARLOTTESVILLE, VA 22902-4848
Phone number: 434-817-2300
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