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1902298987
SIMON MENDOZA MORENO
TACOMA, WA
NPI
1902298987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: WA PA60672657)
Enumeration Date
2015-02-27
Last Update Date
2023-08-03
Business Address
SIMON MENDOZA MORENO PA-C
6240 TACOMA MALL BLVD STE 101
TACOMA, WA 98409-6819
Phone number: 253-271-9720
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Mailing Address
SIMON MENDOZA MORENO PA-C
600 ORONDO AVE STE 1
WENATCHEE, WA 98801-2800
Phone number: 509-662-6000
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