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Individual
PAUL E WEST III
Active
Individual
PAUL E WEST III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
10000855A
IN
363AS0400X
Surgical Physician Assistant
Primary
085-000949
IL
363AS0400X
Surgical Physician Assistant
10000855A
IN
Other
Enumeration date
08/09/2006
Last updated
07/26/2012
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