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1639407109
TAD W. WESTDALE
LONGVIEW, WA
NPI
1639407109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA60115702)
Enumeration Date
2009-11-22
Last Update Date
2012-07-30
Business Address
-- TAD W. WESTDALE PA-C
1718 E KESSLER BLVD
LONGVIEW, WA 98632-1842
Phone number: 360-747-5800
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Mailing Address
-- TAD W. WESTDALE PA-C
PO BOX 3002
LONGVIEW, WA 98632-0302
Phone number: 360-747-5800
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