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1164802062
JASON NEILSEN
SPOKANE, WA
NPI
1164802062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 9832794-1205)
Enumeration Date
2015-06-05
Last Update Date
2019-07-12
Business Address
JASON NEILSEN M.D,
624 E FRONT AVE
SPOKANE, WA 99202
Phone number: 509-626-9900
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Mailing Address
JASON NEILSEN M.D,
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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