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1871609008
JON P. WAKAMATSU
PHOENIX, AZ
NPI
1871609008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 5418A)
Enumeration Date
2006-08-21
Last Update Date
2009-06-15
Business Address
-- JON P. WAKAMATSU M.D.
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-747-4577
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Mailing Address
-- JON P. WAKAMATSU M.D.
625 ALBANY AVE
TORRINGTON, WY 82240-1530
Phone number: 307-532-2017
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