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1841297744
JEFF P JOLLY
LONGVIEW, WA
NPI
1841297744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10002542)
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Business Address
-- JEFF P JOLLY PA
1615 DELAWARE ST
LONGVIEW, WA 98632-2310
Phone number: 360-414-2360
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Mailing Address
-- JEFF P JOLLY PA
PO BOX 249
LONGVIEW, WA 98632-7154
Phone number: 360-414-2000
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