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1235244096
KERRY L MAYHEW
OMAK, WA
NPI
1235244096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10001928)
Enumeration Date
2006-08-20
Last Update Date
2007-12-11
Business Address
Mr. KERRY L MAYHEW PA-C
1007 KOALA AVE
OMAK, WA 98841-9247
Phone number: 509-826-8443
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Mailing Address
Mr. KERRY L MAYHEW PA-C
25 HAUSSLER RD
OMAK, WA 98841-9591
Phone number: 509-826-6832
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