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1568787893
JACOB ROSS MAXWELL
VANCOUVER, WA
NPI
1568787893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR DO166199)
Enumeration Date
2010-03-30
Last Update Date
2021-05-27
Business Address
Dr. JACOB ROSS MAXWELL D.O.
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-828-5396
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Mailing Address
Dr. JACOB ROSS MAXWELL D.O.
505 NE 87TH AVE STE 210
VANCOUVER, WA 98664-1988
Phone number: 360-828-5396
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