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1154884328
JASON ERIC WALLENTINE
SOLDOTNA, AK
NPI
1154884328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01085823A)
Enumeration Date
2019-04-12
Last Update Date
2022-08-15
Business Address
JASON ERIC WALLENTINE MD
245 N BINKLEY ST STE 101
SOLDOTNA, AK 99669-7500
Phone number: 907-714-4111
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Mailing Address
JASON ERIC WALLENTINE MD
221 N CELIA AVE
MUNCIE, IN 47303-4609
Phone number: 765-747-3141
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