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1104890656
PETE A. JACQUES
TACOMA, WA
NPI
1104890656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10001731)
Enumeration Date
2006-02-13
Last Update Date
2009-06-15
Business Address
-- PETE A. JACQUES PA-C
2202 S CEDAR ST STE. #310
TACOMA, WA 98405-2318
Phone number: 253-272-5127
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Mailing Address
-- PETE A. JACQUES PA-C
PO BOX 1241
TACOMA, WA 98401-1241
Phone number: 253-272-5127
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