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1790310977
ADAM JOHN WALLENTA
OMAK, WA
NPI
1790310977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA61218697)
Enumeration Date
2020-03-07
Last Update Date
2024-12-09
Business Address
ADAM JOHN WALLENTA PA-C
916 KOALA DR
OMAK, WA 98841-9759
Phone number: 509-663-8711
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Mailing Address
ADAM JOHN WALLENTA PA-C
820 N CHELAN AVE
WENATCHEE, WA 98801-2028
Phone number: 509-663-8711
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