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Individual

HENRY CLIFTON JAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
43 DWELLEY AVE, DOVER FOXCROFT, ME 04426-1005
(208) 564-8300
(207) 564-8466
Mailing address
43 DWELLEY AVE, DOVER FOXCROFT, ME 04426-1005
(208) 564-8300
(207) 564-8466

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
220875
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00458856
RAILROAD MEDICARE
ME
Enumeration date
09/20/2006
Last updated
04/15/2008
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