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1982227062
JAIRO ENRIGUE MENDOZA
OLYMPIA, WA
NPI
1982227062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61469474)
Enumeration Date
2020-05-22
Last Update Date
2023-08-30
Business Address
JAIRO ENRIGUE MENDOZA M.D.
1620 COOPER POINT RD SW
OLYMPIA, WA 98502-5736
Phone number: 360-486-6710
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Mailing Address
JAIRO ENRIGUE MENDOZA M.D.
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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