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Individual

DR. JAKE R PURVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7000
Mailing address
517 E 4TH ST, PORT ANGELES, WA 98362-3405
(360) 477-1937

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60173834
WA

Other

Enumeration date
07/01/2013
Last updated
07/01/2013
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