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Organization
LEYTON ENDICOTT JUMP
Active
Organization
LEYTON ENDICOTT JUMP
Active
Other names
Tenino Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEYTON ENDICOTT JUMP MD (OWNER)
(360) 264-5665
Entity
Organization
Contact information
Practice address
273 SUSSEX AVE E, TENINO, WA 98589-9359
(360) 264-5665
(360) 264-5666
Mailing address
PO BOX 4020, TENINO, WA 98589-4020
(360) 264-5665
(360) 264-5666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022762
WA
Other
Enumeration date
04/25/2006
Last updated
06/04/2013
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