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1619601333
JACOB DUNHAM
JOHNSON CITY, NY
NPI
1619601333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
JACOB DUNHAM PA
33-57 HARRISON ST
JOHNSON CITY, NY 13790-2107
Phone number: 607-763-6412
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Mailing Address
JACOB DUNHAM PA
33 LEWIS RD FL 2
BINGHAMTON, NY 13905-1055
Phone number: 607-770-0025
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