JASON ERIC WALLENTINE

SOLDOTNA, AK
NPI1154884328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01085823A)
Enumeration Date2019-04-12
Last Update Date2022-08-15
Business Address
JASON ERIC WALLENTINE MD
245 N BINKLEY ST STE 101
SOLDOTNA, AK 99669-7500
Phone number: 907-714-4111
Mailing Address
JASON ERIC WALLENTINE MD
221 N CELIA AVE
MUNCIE, IN 47303-4609
Phone number: 765-747-3141
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