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1649898362
LUCAS WYATT SEALBY
MEDFORD, OR
NPI
1649898362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA200887)
Enumeration Date
2020-07-09
Last Update Date
2022-10-05
Business Address
LUCAS WYATT SEALBY PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
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Mailing Address
LUCAS WYATT SEALBY PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
Copy
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