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1215923354
JERRY D. EISNER
MOUNT VERNON, WA
NPI
1215923354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: WA MD00014819)
Enumeration Date
2005-09-23
Last Update Date
2012-10-05
Business Address
-- JERRY D. EISNER MD
1400 E. KINCAID ST. SKAGIT REGIONAL CLINICS
MOUNT VERNON, WA 98274-4127
Phone number: 360-814-6200
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Mailing Address
-- JERRY D. EISNER MD
1400 E. KINCAID ST. ATTN: CREDENTIALING
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2500
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