JASON DONALD MECUM

COOS BAY, OR
NPI1508531666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy125J00000X Dental Therapist
(Licence: WA  18-TDT-02)
Enumeration Date2021-08-11
Last Update Date2021-08-11
Business Address
Mr. JASON DONALD MECUM DHAT
630 MILUK DR
COOS BAY, OR 97420-7728
Phone number: 541-888-9494
Mailing Address
Mr. JASON DONALD MECUM DHAT
PO BOX 3190
COOS BAY, OR 97420-0407
Phone number:
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