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1851899215
JASON EDWARD VESTAL
SPOKANE, WA
NPI
1851899215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60814161)
Enumeration Date
2018-01-30
Last Update Date
2024-03-07
Business Address
Mr. JASON EDWARD VESTAL ARNP
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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Mailing Address
Mr. JASON EDWARD VESTAL ARNP
104 S FREYA ST STE GREEN212
SPOKANE, WA 99202-4862
Phone number: 509-368-9863
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