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1881632677
JACK L STUMP
VANCOUVER, WA
NPI
1881632677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00037100)
Enumeration Date
2006-06-03
Last Update Date
2012-10-09
Business Address
-- JACK L STUMP MD
600 NE 92ND AVE
VANCOUVER, WA 98664-3225
Phone number: 360-514-2142
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Mailing Address
-- JACK L STUMP MD
FILE 742997 PO BOX 60000
LOS ANGELES, CA 90074-2997
Phone number: 360-514-2142
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