JARED B CORNELISON

OLYMPIA, WA
NPI1093068595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60360929)
Enumeration Date2012-10-22
Last Update Date2013-05-28
Business Address
-- JARED B CORNELISON PA-C
3901 CAPITAL MALL DR SW STE A
OLYMPIA, WA 98502-1178
Phone number: 360-786-8990
Mailing Address
-- JARED B CORNELISON PA-C
431 N 15TH AVE
POCATELLO, ID 83201-4058
Phone number: 208-339-5726
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