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1801839725
MARK S MATHEWS
LACEY, WA
NPI
1801839725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA1002175)
Enumeration Date
2006-06-14
Last Update Date
2007-07-09
Business Address
-- MARK S MATHEWS P.A.
700 SLEATER KINNEY RD SE PMB 254
LACEY, WA 98503-1150
Phone number: 360-426-8398
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Mailing Address
-- MARK S MATHEWS P.A.
700 SLEATER KINNEY RD SE PMB 254
LACEY, WA 98503-1113
Phone number: 360-426-8398
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