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1912972258
JACOB JOSEPH TOM
SPRINGFIELD, OR
NPI
1912972258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: WA 39631)
Enumeration Date
2006-02-21
Last Update Date
2011-06-08
Business Address
DR. JACOB JOSEPH TOM MD
960 N 16TH ST STE 103
SPRINGFIELD, OR 97477-4175
Phone number: 541-726-4694
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Mailing Address
DR. JACOB JOSEPH TOM MD
696 N SHEPHERD RD
WASHOUGAL, WA 98671-8320
Phone number: 360-281-6432
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