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1366433542
GEORGE NATHAN WISE
TACOMA, WA
NPI
1366433542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004592)
Enumeration Date
2005-11-04
Last Update Date
2019-11-21
Business Address
Mr. GEORGE NATHAN WISE PA-C
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 360-440-0655
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Mailing Address
Mr. GEORGE NATHAN WISE PA-C
2305 10TH ST
BREMERTON, WA 98312-3850
Phone number: 360-440-0655
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