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1790754679
JITKA LOM
TAMUNING, GU
NPI
1790754679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GU MOO1288)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
DR. JITKA LOM M.D.
280 PALE SAN VITORES RD
TAMUNING, GU 96913-3615
Phone number: 671-647-4542
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Mailing Address
DR. JITKA LOM M.D.
280 PALE SAN VITORES RD
TAMUNING, GU 96913-3615
Phone number: 671-647-4542
Copy
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