KYLE SHAFER

ILWACO, WA
NPI1376172775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  61076997)
Enumeration Date2020-04-07
Last Update Date2020-07-22
Business Address
KYLE SHAFER
176 1ST AVE N
ILWACO, WA 98624-9137
Phone number: 360-642-3747
Mailing Address
KYLE SHAFER
35585 BELLA RIDGE LOOP
ASTORIA, OR 97103-6630
Phone number:
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