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1801663067
JACOB MAHNKE
NEWBERG, OR
NPI
1801663067
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Other Name
JAKE MAHNKE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-12-07
Last Update Date
2023-12-07
Business Address
JACOB MAHNKE
448 N WERTH BLVD
NEWBERG, OR 97132-7500
Phone number: 503-554-2521
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Mailing Address
JACOB MAHNKE
3805 SE 182ND CT
VANCOUVER, WA 98683-8269
Phone number: 360-831-7989
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