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1083877005
MATTHEW WILLIAM SHORT
REPUBLIC, WA
NPI
1083877005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61107739)
Enumeration Date
2008-07-09
Last Update Date
2021-09-08
Business Address
MATTHEW WILLIAM SHORT MD
10 ROS CIR
REPUBLIC, WA 99166-5002
Phone number: 509-775-3153
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Mailing Address
MATTHEW WILLIAM SHORT MD
10 ROS CIR
REPUBLIC, WA 99166-5002
Phone number: 509-775-3153
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