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1477567725
KEITH C PASTERNAK
LONGVIEW, WA
NPI
1477567725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00036588)
Enumeration Date
2006-07-29
Last Update Date
2019-10-11
Business Address
KEITH C PASTERNAK MD
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-501-3601
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Mailing Address
KEITH C PASTERNAK MD
PO BOX 5299
TACOMA, WA 98415-0299
Phone number: 253-403-2368
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