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1962162784
MASON KAHIAU VEGAS
SPOKANE, WA
NPI
1962162784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CO PA.0007157)
Enumeration Date
2021-12-20
Last Update Date
2023-04-12
Business Address
MASON KAHIAU VEGAS PA-C
212 E CENTRAL AVE STE 440
SPOKANE, WA 99208-6290
Phone number: 509-252-1977
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Mailing Address
MASON KAHIAU VEGAS PA-C
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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