JACOB WATTERS

ROSEBURG, OR
NPI1609480359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA201167)
Enumeration Date2020-09-01
Last Update Date2020-10-01
Business Address
JACOB WATTERS
2700 NW STEWART PKWY
ROSEBURG, OR 97471-1281
Phone number: 541-673-0611
Mailing Address
JACOB WATTERS
2971 INTERSTATE AVE
ARCO, ID 83213-8705
Phone number: 801-367-5004
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