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1417359605
JAYSON WATABE
TUBA CITY, AZ
NPI
1417359605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
-- JAYSON WATABE P.A.
167 N MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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Mailing Address
-- JAYSON WATABE P.A.
PO BOX 600 167 N MAIN STREET
TUBA CITY, AZ 86045
Phone number:
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