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Individual

DR. JASON JUDE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
580 BLACKSTONE ALLEY, JACKSONVILLE, OR 97530-1077
(541) 899-2760
Mailing address
PO BOX 1077, JACKSONVILLE, OR 97530-1077
(541) 899-2760

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-3206
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274976
OR
Enumeration date
05/07/2007
Last updated
07/08/2007
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