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1932599214
MATTHEW LASSEN
MOSCOW, ID
NPI
1932599214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1229)
Enumeration Date
2015-01-26
Last Update Date
2020-04-29
Business Address
MATTHEW LASSEN PA-C
803 S MAIN ST STE 120
MOSCOW, ID 83843-2695
Phone number: 509-444-8888
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Mailing Address
MATTHEW LASSEN PA-C
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8888
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