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1619590221
ANDREW MARK TIJERINA
GRANTS PASS, OR
NPI
1619590221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-05-19
Last Update Date
2022-04-29
Business Address
ANDREW MARK TIJERINA
495 SW RAMSEY AVE
GRANTS PASS, OR 97527-5681
Phone number: 541-476-6644
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Mailing Address
ANDREW MARK TIJERINA
495 SW RAMSEY AVE
GRANTS PASS, OR 97527-5681
Phone number: 541-476-6644
Copy
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