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1619444742
JOSEPHINE VIRGEN
YAKIMA, WA
NPI
1619444742
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Former Name
JOSEPHINE GUTIERREZ- MATA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2018-10-26
Last Update Date
2018-10-26
Business Address
Mrs. JOSEPHINE VIRGEN CM 60705971
3300 ROOSEVELT AVE
YAKIMA, WA 98902-6344
Phone number: 509-571-1455
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Mailing Address
Mrs. JOSEPHINE VIRGEN CM 60705971
3300 ROOSEVELT AVE
YAKIMA, WA 98902-6344
Phone number: 509-571-1455
Copy
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