JACK KACZMAREK

NEWPORT, OR
NPI1679547384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR  9734)
Enumeration Date2006-02-17
Last Update Date2010-07-08
Business Address
-- JACK KACZMAREK
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
Mailing Address
-- JACK KACZMAREK
111 FRED TAYLOR RD
SILETZ, OR 97380-9708
Phone number:
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