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1477744373
JACOB AVERY GOMOKE
SUFFOLK, VA
NPI
1477744373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305202181)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
Mr. JACOB AVERY GOMOKE PT
5818 HARBOUR VIEW BLVD # D SUITE 150
SUFFOLK, VA 23435-3315
Phone number: 757-638-1800
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Mailing Address
Mr. JACOB AVERY GOMOKE PT
3620 CALVERTON WAY
CHESAPEAKE, VA 23321-4463
Phone number: 757-484-9320
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