JUSTIN MANDEVILLE

YELM, WA
NPI1073019550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-04-03
Last Update Date2023-07-25
Business Address
JUSTIN MANDEVILLE PA-C
9391 PRARRIE WIND ST
YELM, WA 98597
Phone number: 517-667-8729
Mailing Address
JUSTIN MANDEVILLE PA-C
BLDG 11582 C STREET OKUBO CLINIC
JBLM, WA 98433
Phone number:
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