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1801871421
JEFFREY KIRK RUSSELL
PORT ANGELES, WA
NPI
1801871421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60898671)
Enumeration Date
2005-12-07
Last Update Date
2020-03-11
Business Address
JEFFREY KIRK RUSSELL PA-C
907 GEORGIANA ST
PORT ANGELES, WA 98362-3911
Phone number: 360-565-0999
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Mailing Address
JEFFREY KIRK RUSSELL PA-C
PO BOX 850
PORT ANGELES, WA 98362-0146
Phone number: 360-417-7111
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