JARED LEE WALLACE

KENAI, AK
NPI1063746667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2009-09-29
Last Update Date2023-03-07
Business Address
Mr. JARED LEE WALLACE PA-C
43783 KENAI SPUR HWY
KENAI, AK 99611
Phone number: 907-283-9116
Mailing Address
Mr. JARED LEE WALLACE PA-C
43783 KENAI SPUR HWY
KENAI, AK 99611-9708
Phone number: 907-283-9116
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