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1992238331
DANIEL R. JACK
TACOMA, WA
NPI
1992238331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: UT 12229879-1205)
Enumeration Date
2017-04-04
Last Update Date
2023-12-08
Business Address
Dr. DANIEL R. JACK M.D.
9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number: 253-968-2252
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Mailing Address
Dr. DANIEL R. JACK M.D.
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2252
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