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1811297492
JACOB SCOTT WEIDERT
SEATTLE, WA
NPI
1811297492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA.60188423)
Enumeration Date
2010-10-28
Last Update Date
2021-05-10
Business Address
Mr. JACOB SCOTT WEIDERT P.A.
125 16TH AVE E
SEATTLE, WA 98112-5211
Phone number: 206-326-3000
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Mailing Address
Mr. JACOB SCOTT WEIDERT P.A.
125 16TH AVE E
SEATTLE, WA 98112-5211
Phone number: 206-326-3000
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