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1376529644
LANCE JOHN MAYFIELD
PORT ANGELES, WA
NPI
1376529644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10004207)
Enumeration Date
2005-12-19
Last Update Date
2007-07-16
Business Address
Mr. LANCE JOHN MAYFIELD Physician Assistant
1 EDIZ HOOK U.S. COAST GUARD CLINIC
PORT ANGELES, WA 98362-2201
Phone number: 360-417-5891
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Mailing Address
Mr. LANCE JOHN MAYFIELD Physician Assistant
1113 CRAIG ST
PORT ANGELES, WA 98362-2720
Phone number: 360-417-0695
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