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1508265992
JACOB KEFGEN
EVERETT, WA
NPI
1508265992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60480884)
Enumeration Date
2014-08-21
Last Update Date
2021-01-05
Business Address
Dr. JACOB KEFGEN DDS
1019 112TH ST SW
EVERETT, WA 98204-4875
Phone number: 425-551-6001
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Mailing Address
Dr. JACOB KEFGEN DDS
1019 112TH ST SW
EVERETT, WA 98204-4875
Phone number: 425-551-6001
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