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1033528591
MATTHEW KIDDLE
PORT ANGELES, WA
NPI
1033528591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA 60615596)
Enumeration Date
2014-08-10
Last Update Date
2019-08-20
Business Address
MATTHEW KIDDLE PA
907 GEORGIANA ST
PORT ANGELES, WA 98362-3911
Phone number: 360-565-0999
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Mailing Address
MATTHEW KIDDLE PA
907 GEORGIANA ST
PORT ANGELES, WA 98362-3911
Phone number: 360-565-0999
Copy
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