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1306958707
BRIAN EDWARD MAHON
LONGVIEW, WA
NPI
1306958707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA WA PA10001607)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- BRIAN EDWARD MAHON PA
1230 7TH AVE
LONGVIEW, WA 98632-3166
Phone number: 360-575-4801
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Mailing Address
-- BRIAN EDWARD MAHON PA
1432 WOODSIDE DR
CASTLE ROCK, WA 98611-9481
Phone number:
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