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1053647966
JESSE R SHAFFER
LONGVIEW, WA
NPI
1053647966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA60108805)
Enumeration Date
2009-10-27
Last Update Date
2009-10-27
Business Address
-- JESSE R SHAFFER PA-C
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-501-3500
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Mailing Address
-- JESSE R SHAFFER PA-C
PO BOX 3002
LONGVIEW, WA 98632-0302
Phone number: 360-501-3500
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